Organization Active NPI

Swan Falls Family Dentistry

  • General Practice Dentistry
  • Kuna, ID
National Provider Identifier
1710159389
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-4081 Issued in ID
Legal business name
SWAN FALLS FAMILY DENTISTRY
Practice address
1621 N Linder Rd
Kuna, ID 83634-3032
Phone
(208) 922-5111
Fax
(208) 922-1577
NPI assigned
Mar 24, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Zach Haws, DDS
Title
Dentist
Phone
(208) 922-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-4081 ID Primary

Addresses

Primary practice location

1621 N Linder Rd
Kuna, ID 83634-3032

Mailing address

1621 N Linder Rd
Kuna, ID 83634-3032
Phone (208) 922-5111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1710159389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N LINDER RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836343032",
            "telephone_number": "208-922-5111",
            "fax_number": "208-922-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N LINDER RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836343032",
            "telephone_number": "208-922-5111",
            "fax_number": "208-922-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN FALLS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "HAWS",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-922-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.