Art Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4019 Issued in ID

Legal business name

ART DENTAL

Practice address

1212 N Cole Rd
Boise, ID 83704-8646

Phone

(208) 375-3755

Fax

(208) 323-7677

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By 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. Nathaniel Royal Skousen, DMD

Title

President

Phone

(208) 375-3755

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1710164793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048646",
            "telephone_number": "208-375-3755",
            "fax_number": "208-323-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048646",
            "telephone_number": "208-375-3755",
            "fax_number": "208-323-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "SKOUSEN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "ROYAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-375-3755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO SMILES",
            "identifier": "9201730",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807579000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Boise, ID
• Providers in Boise, 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 Jan 22, 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.