NPIMap

Organization Active NPI

Hayden Family Dental Center, PLLC

  • General Practice Dentistry
  • Hayden, ID
National Provider Identifier
1649589441
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D2001 Issued in ID
Legal business name
HAYDEN FAMILY DENTAL CENTER, PLLC
Practice address
52 W Commerce Dr
Hayden, ID 83835-9221
Phone
(208) 772-3132
Fax
(208) 772-9742
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Benjamin D Babcock, DDSNPI 1548331986
Title
Dentist
Phone
(208) 772-3132

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D2001 ID Primary

Addresses

Primary practice location

52 W Commerce Dr
Hayden, ID 83835-9221

Mailing address

PO Box 7
Hayden, ID 83835-0007
Phone (208) 772-3132

Other identifiers 2

IdentifierTypeStateIssuer
1548331986OtherIDNPI
2006003OtherWAWA DSHS

National Provider Directory

National Provider Directory

Locations

52 W Commerce Dr
Hayden, ID 83835
Phone (208) 772-3132

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1649589441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350007",
            "telephone_number": "208-772-3132",
            "fax_number": "208-772-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W COMMERCE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359221",
            "telephone_number": "208-772-3132",
            "fax_number": "208-772-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEN FAMILY DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-772-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D2001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548331986",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DSHS",
            "identifier": "2006003",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.