Dentistry for Kids PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-3451-PD Issued in ID

Legal business name

DENTISTRY FOR KIDS PLLC

Practice address

625 E Alameda Rd.
Pocatello, ID 83201

Phone

(208) 237-1567

Fax

(208) 478-5097

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Robert D. McWhorter, D.D.S.

Title

President

Phone

(208) 237-1567

Specialties & licenses 2

Addresses

Other names 1

• Tooth Town Doing business as

Locations

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1679812002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E ALAMEDA RD.",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-237-1567",
            "fax_number": "208-478-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E ALAMEDA RD.",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-237-1567",
            "fax_number": "208-478-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR KIDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-237-1567",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-3451-PD",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4186-PD",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth Town",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Deiter
• Ruth Siobhan Dekker, M.S.N., F.N.P.
• Jacob Delarosa, MD
• Rosemary Demeter-Gietzen, LSW
• Kelsey Marie Denison, PMHNP-BC
• David M Denton, M.D.
• Denture Arts, Inc.
• Denture Clinic of Pocatello, Inc.
• Aneree H Desai, M.D
• Edward Desano, MD

• Pediatric Dentistry in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.