NPIMap

Organization Active NPI

Signature Smiles

  • Dentist
  • Meridian, ID
National Provider Identifier
1598144198
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-3327 Issued in ID
Legal business name
SIGNATURE SMILES
Practice address
3200 N Leslie Way Ste 110
Meridian, ID 83646-5362
Phone
(208) 322-0024
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Mr. Kenyon L Oyler, DDS
Title
Dentist
Phone
(208) 322-0024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D-3327 ID Primary

Addresses

Primary practice location

3200 N Leslie Way Ste 110
Meridian, ID 83646-5362

Mailing address

3200 N Leslie Way Ste 110
Meridian, ID 83646-5362
Phone (208) 322-0024

National Provider Directory

National Provider Directory

Locations

3200 N Leslie Way
#110
Meridian, ID 83646
Phone (208) 322-0024

Practitioners & affiliated clinicians

Practitioners 1

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": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1598144198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N LESLIE WAY STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465362",
            "telephone_number": "208-322-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N LESLIE WAY STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465362",
            "telephone_number": "208-322-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "OYLER",
        "authorized_official_first_name": "KENYON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-322-0024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-3327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.