Organization Active NPI

Root & Branch Anesthesia P.L.L.C.

  • General Practice Dentistry
  • Idaho Falls, ID
National Provider Identifier
1528879129
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROOT & BRANCH ANESTHESIA P.L.L.C.
Practice address
3335 S Holmes Ave
Idaho Falls, ID 83404-7981
Phone
(208) 524-3770
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Austen Weeks, DDS
Title
Owner
Phone
(208) 313-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3335 S Holmes Ave
Idaho Falls, ID 83404-7981

Mailing address

1395 E Lazy LN
Idaho Falls, ID 83404-7784
Phone (208) 313-2202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1528879129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 E LAZY LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047784",
            "telephone_number": "208-313-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047981",
            "telephone_number": "208-524-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT & BRANCH ANESTHESIA P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "AUSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-313-2202",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.