Organization Active NPI

Center for Contemporary Dentistry

  • Dentist
  • Boise, ID
National Provider Identifier
1790808012
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D3700 Issued in ID
Legal business name
CENTER FOR CONTEMPORARY DENTISTRY
Practice address
3157 So Bown Way
Ste 200
Boise, ID 83706
Phone
(208) 342-8000
Fax
(208) 342-8011
NPI assigned
Apr 10, 2007
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Timothy Jayson Huff, DDSNPI 1043450471
Title
Owner, Dentist
Phone
(208) 342-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D3700 ID Primary

Addresses

Primary practice location

3157 So Bown Way
Ste 200
Boise, ID 83706

Mailing address

3157 So Bown Way
Ste 200
Boise, ID 83706
Phone (208) 342-8000

National Provider Directory

National Provider Directory

Locations

3157 S Bown Way
Ste 200
Boise, ID 83706
Phone (208) 342-8000

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1790808012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 SO BOWN WAY",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-342-8000",
            "fax_number": "208-342-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 SO BOWN WAY",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-342-8000",
            "fax_number": "208-342-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CONTEMPORARY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAYSON",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "208-342-8000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.