Devin Theodore Gneiting, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5442 Issued in ID

Practice address

742 N Cliff Creek LN
Meridian, ID 83642-1037

Phone

(208) 270-4121

Fax

(254) 753-0315

NPI assigned

Nov 20, 2012

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1679817241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 N CLIFF CREEK LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421037",
            "telephone_number": "208-270-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 N CLIFF CREEK LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421037",
            "telephone_number": "208-270-4121",
            "fax_number": "254-753-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNEITING",
        "first_name": "DEVIN",
        "middle_name": "THEODORE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Meridian, ID
• Providers in Meridian, 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 23, 2025; 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.