Organization Active NPI

Eagle Smiles Dentistry and Orthodontics, PC

  • General Practice Dentistry
  • Meridian, ID
National Provider Identifier
1659619609
Registry record updated Jan 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EAGLE SMILES DENTISTRY AND ORTHODONTICS, PC
Practice address
6700 N Linder Rd Ste 132
Meridian, ID 83646-6608
Phone
(208) 895-8555
Fax
(208) 895-8556
NPI assigned
Jan 26, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Daniel B Howard, DDS
Title
Owner Doctor
Phone
(208) 895-8555

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

6700 N Linder Rd
Ste 132
Meridian, ID 83646
Phone (208) 639-9480

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

6700 N Linder Rd Ste 132
Meridian, ID 83646-6608

Mailing address

2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 368-2077

Other names 1

NPPES NPI Registry
  • Eagle Smiles Dentistry and Orthodontics Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2013.

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359158400000",
    "number": "1659619609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2077",
            "fax_number": "714-508-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N LINDER RD STE 132",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466608",
            "telephone_number": "208-895-8555",
            "fax_number": "208-895-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE SMILES DENTISTRY AND ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "208-895-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Smiles Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.