NPIMap

Organization Active NPI

NS South

  • Dental Clinic/Center
  • Nampa, ID
National Provider Identifier
1568944502
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D3065 Issued in ID
Legal business name
NS SOUTH
Practice address
1705 12TH Ave Rd
Nampa, ID 83686-6104
Phone
(208) 466-6600
Fax
(208) 466-6603
NPI assigned
Sep 6, 2018
Last updated
Sep 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Kim Benson Keller, DDSNPI 1518978543
Title
Owner/Dentist
Phone
(208) 466-2456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D3065 ID Primary

Addresses

Primary practice location

1705 12TH Ave Rd
Nampa, ID 83686-6104

Mailing address

607 2ND St S
Nampa, ID 83651-3837
Phone (208) 466-2456

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1568944502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513837",
            "telephone_number": "208-466-2456",
            "fax_number": "208-318-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866104",
            "telephone_number": "208-466-6600",
            "fax_number": "208-466-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NS SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "BENSON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-466-2456",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D3065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.