Cedar Hills Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3509 Issued in ID

Legal business name

CEDAR HILLS FAMILY DENTISTRY

Practice address

1525 Bannock Hwy
Pocatello, ID 83204-3509

Phone

(208) 233-2230

NPI assigned

Apr 11, 2008

Last updated

Apr 11, 2008By 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

Dr. David Michael Sutton, D.D.S.NPI 1578517181

Title

President/Dentist

Phone

(208) 233-2230

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• David Michael Sutton, D.D.S.

  • General Practice Dentistry
  • Pocatello, ID
  • NPI 1578517181
  NPD (past) Authorized official
• Theresa Lynn McKinney, D.D.S.

  • Dentist
  • Pocatello, ID
  • NPI 1285831123
  NPD (past)
• Joshua Price Wray

  • General Practice Dentistry
  • Malad City, ID
  • NPI 1689304529
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1659544427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BANNOCK HWY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BANNOCK HWY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043509",
            "telephone_number": "208-233-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILLS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "208-233-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammon Deloyd Cazier
• CC Pocatello LLC (Community Care Pocatello)
• CDS,PA (Pocatello Women's Health Clinic)
• Cedar Health Center
• Cedar Health Center
• Cedar Sage Counseling PLLC
• Center for Dental Excellence LLC
• Center for Orthopedic Rehabilitation
• Center Street Health Care LLC
• Centrum Hearing Services, Inc

• General Practice Dentistry in Pocatello, ID
• Providers in Pocatello, 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 Apr 11, 2008; 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.