NPIMap

Organization Active NPI

Cedar Springs Family Dental, PLLC

  • Dental Clinic/Center
  • Meridian, ID
National Provider Identifier
1689809980
Registry record updated May 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D-3972 Issued in ID
Legal business name
CEDAR SPRINGS FAMILY DENTAL, PLLC
Practice address
790 W Ustick Rd Ste 110
Meridian, ID 83646-5558
Phone
(208) 288-1454
NPI assigned
May 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2009

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

Authorized official

Name
Dr. Stephen Patrick White, DDS
Title
Manager
Phone
(208) 288-1454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D-3972 ID Primary

Addresses

Primary practice location

790 W Ustick Rd Ste 110
Meridian, ID 83646-5558

Mailing address

790 W Ustick Rd Ste 110
Meridian, ID 83646-5558
Phone (208) 288-1454

National Provider Directory

National Provider Directory

Locations

790 W Ustick Rd
Ste 110
Meridian, ID 83646
Phone (208) 288-1454

NPI Registry JSON

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

{
    "created_epoch": "1242432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242432000000",
    "number": "1689809980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 W USTICK RD STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465558",
            "telephone_number": "208-288-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W USTICK RD STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465558",
            "telephone_number": "208-288-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR SPRINGS FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-16",
        "last_updated": "2009-05-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-288-1454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-3972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 16, 2009; 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.