NPIMap

Organization Active NPI

Call Family Dentistry

  • General Practice Dentistry
  • Pocatello, ID
National Provider Identifier
1730348806
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CALL FAMILY DENTISTRY
Practice address
1352 E Center St Ste B
Pocatello, ID 83201-4769
Phone
(208) 233-2500
Fax
(208) 233-2603
NPI assigned
Jun 4, 2008
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Thomas F Call, D.D.S.NPI 1912082280
Title
Owner
Phone
(208) 233-2500

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1352 E Center St Ste B
Pocatello, ID 83201-4769

Mailing address

1352 E Center St Ste B
Pocatello, ID 83201-4769
Phone (208) 233-2500

Other identifiers 4

IdentifierTypeStateIssuer
61192OtherIDBLUE CROSS OF IDAHO
779347OtherPAUNITED CONCORDIA
002640700MedicaidID
10009571OtherIDREGENCE BLUE CROSS

National Provider Directory

National Provider Directory

Locations

1352 E Center St
#B
Pocatello, ID 83201
Phone (208) 233-2500

Practitioners & affiliated clinicians

Practitioners 2

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": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1730348806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 E CENTER ST STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014769",
            "telephone_number": "208-233-2500",
            "fax_number": "208-233-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 E CENTER ST STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014769",
            "telephone_number": "208-233-2500",
            "fax_number": "208-233-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-233-2500",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "61192",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "779347",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002640700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "10009571",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.