NPIMap

Organization Active NPI

Comfort Care Dental of Idaho Falls, PLLC

  • Dental Clinic/Center
  • Idaho Falls, ID
National Provider Identifier
1679704647
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D4056 Issued in ID
Legal business name
COMFORT CARE DENTAL OF IDAHO FALLS, PLLC
Practice address
3550 Washington Pkwy
Idaho Falls, ID 83404-4968
Phone
(208) 524-2300
Fax
(208) 545-8447
NPI assigned
Aug 7, 2009
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Dr. Philip Harper, D.M.D.NPI 1083818371
Title
Owner/Dentist
Phone
(208) 524-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D4056 ID Primary
Dental Clinic/Center 261QD0000X D4164 ID

Addresses

Primary practice location

3550 Washington Pkwy
Idaho Falls, ID 83404-4968

Mailing address

3550 Washington Pkwy
Idaho Falls, ID 83404-4968
Phone (208) 524-2300

National Provider Directory

National Provider Directory

Locations

3550 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 524-2300

Practitioners & affiliated clinicians

Practitioners 4

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": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1679704647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044968",
            "telephone_number": "208-524-2300",
            "fax_number": "208-545-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044968",
            "telephone_number": "208-524-2300",
            "fax_number": "208-545-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE DENTAL OF IDAHO FALLS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-524-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D4056",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D4164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.