NPIMap

Organization Active NPI

Public Denture Center

  • Dental Laboratory
  • Caldwell, ID
National Provider Identifier
1700294568
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
LD-92 Issued in ID
Legal business name
PUBLIC DENTURE CENTER
Practice address
2124 Blaine St
Caldwell, ID 83605-4426
Phone
(208) 454-0311
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Rebecca Lynn Westerberg, LD-32NPI 1598081556
Title
Owner
Phone
(208) 323-7790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X LD-92 ID Primary

Addresses

Primary practice location

2124 Blaine St
Caldwell, ID 83605-4426

Mailing address

2124 Blaine St
Caldwell, ID 83605-4426
Phone (208) 454-0311

National Provider Directory

National Provider Directory
Tax ID family
Public Denture Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1700294568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054426",
            "telephone_number": "208-454-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054426",
            "telephone_number": "208-454-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC DENTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "WESTERBERG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-323-7790",
        "authorized_official_credential": "LD-32"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "ID",
            "license": "LD-92",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.