Machen Family Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4356 Issued in ID

Legal business name

MACHEN FAMILY DENTISTRY PC

Practice address

3500 Potomac Way
Suite 200
Idaho Falls, ID 83404-4974

Phone

(208) 552-0775

NPI assigned

Jul 7, 2011

Last updated

Oct 14, 2016By 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. Esther B Machen, D.D.S.NPI 1194046037

Title

President

Phone

(208) 552-0775

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Esther B. Machen, DDS

  • General Practice Dentistry
  • Idaho Falls, ID
  • NPI 1194046037
  NPD (past) Authorized official

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1679860829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 POTOMAC WAY",
            "address_2": "SUITE 200",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044974",
            "telephone_number": "208-552-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 POTOMAC WAY",
            "address_2": "SUITE 200",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044974",
            "telephone_number": "208-552-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACHEN FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "MACHEN",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-552-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Sears Optical #C0761)
• Christina Lyle-Whipple, LMSW
• Lynn J Stromberg MD PA
• Lauren Lyon, PA
• Anthony Macey, DO
• Machen Family Medicine, PC (Shane G Machen, DO)
• Esther B. Machen, DDS
• Shane Gary Machen, D.O.
• Macieski Crna PC
• Dennis C Macieski, CRNA

• General Practice Dentistry in Idaho Falls, ID
• Providers in Idaho Falls, 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 Oct 14, 2016; 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.