Northwest Dental Center, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3202 Issued in ID

Legal business name

NORTHWEST DENTAL CENTER, PA

Practice address

8300 W Northview St
Boise, ID 83704-7132

Phone

(208) 377-8078

Fax

(208) 377-3689

NPI assigned

Sep 21, 2006

Last updated

Nov 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Don R Cook, DDSNPI 1932378767

Title

Owner

Phone

(208) 377-8078

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Northwest Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Dental Center

  • General Practice Dentistry
  • Boise, ID
  • NPI 1922188333
  NPD tax ID

Practitioners 1

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.

• Don R Cook, D.D.S.

  • General Practice Dentistry
  • Boise, ID
  • NPI 1932378767
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1639278146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047132",
            "telephone_number": "208-377-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047132",
            "telephone_number": "208-377-8078",
            "fax_number": "208-377-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-377-8078",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "6C362",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "464827",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806376000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northlight Counseling LLC (n/a)
• David G. Northness, DMD
• Northstar Coordination LLC
• Northview Dental Partnership LLC (Parkway Dental at Northview)
• Northwest Dental Center
• Northwest Dental Group
• Northwest Neurobehavioral Health PLLC
• Northwest Occupational Medicine & Neurosurgical Spine Institute LLC
• Northwest Oral Surgery LLC
• Northwest Osteoscreening (NW Health & OsteoScreening)

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.