Active NPI
Brooks Joseph Uniat, DDS
- General Practice Dentistry
- Caldwell, ID
National Provider Identifier
1639184120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D3666
- Practice address
- 1913 S Kimball Ave
Caldwell, ID 83605-4829 - Phone
- (208) 459-0113
- Fax
- (208) 459-7831
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D3666 | ID | Primary |
Addresses
Primary practice location
1913 S Kimball Ave
Caldwell, ID 83605-4829
Mailing address
1913 S Kimball Ave
Caldwell, ID 83605-4829
Phone (208) 459-0113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160328001088 | ID | Order and Referring Only - Dentist | 6305143942 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3666 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uniat Dentistry Inc | Current | Accepting new patients |
Locations
1913 S Kimball Ave
Caldwell, ID 83605
Phone (208) 459-0113
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1639184120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 S KIMBALL AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054829",
"telephone_number": "208-459-0113",
"fax_number": "208-459-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 S KIMBALL AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054829",
"telephone_number": "208-459-0113",
"fax_number": "208-459-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNIAT",
"first_name": "BROOKS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D3666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.