Active NPI
Dentures by Design of Idaho, Inc.
- Dental Clinic/Center
- Nampa, ID
National Provider Identifier
1629707708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DENTURES BY DESIGN OF IDAHO, INC.
- Practice address
- 1611 12TH Ave Rd Ste B
Nampa, ID 83686-6182 - Phone
- (208) 467-1107
- NPI assigned
- Jun 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angelo Giovanini, LD
- Title
- Denturist
- Phone
- (208) 467-1107
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1611 12TH Ave Rd Ste B
Nampa, ID 83686-6182
Mailing address
1611 12TH Ave Rd Ste B
Nampa, ID 83686-6182
Phone (208) 467-1107
Other names 1
- Dentures By Design
National Provider Directory
National Provider DirectoryLocations
1611 12th Ave Rd
Ste B
Nampa, ID 83686
Phone (208) 442-8035
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Denturist
- Nampa, ID
- NPI 1538672837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1629707708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 12TH AVE RD STE B",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866182",
"telephone_number": "208-467-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 12TH AVE RD STE B",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866182",
"telephone_number": "208-467-1107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTURES BY DESIGN OF IDAHO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "GIOVANINI",
"authorized_official_first_name": "ANGELO",
"authorized_official_title_or_position": "DENTURIST",
"authorized_official_telephone_number": "208-467-1107",
"authorized_official_credential": "LD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentures By Design",
"code": "5",
"type": "Other Name"
}
]
}
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 Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.