Active NPI
Jeffrey F. Sowle DDS PA
- General Practice Dentistry
- Kendrick, ID
National Provider Identifier
1790959609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 66D1616
- Legal business name
- JEFFREY F. SOWLE DDS PA
- Practice address
- 601 East Main St
Kendrick, ID 83537-0160 - Phone
- (208) 289-3221
- Fax
- (208) 289-3721
- NPI assigned
- Apr 22, 2008
- Last updated
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey F. Sowle, DDS
- Title
- President
- Phone
- (208) 289-3221
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 66D1616 | ID | Primary |
Addresses
Primary practice location
601 East Main St
Kendrick, ID 83537-0160
Mailing address
PO Box 160
Kendrick, ID 83537-0160
Phone (208) 289-3221
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Kendrick, ID
- NPI 1902828767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1790959609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "KENDRICK",
"state": "ID",
"postal_code": "835370160",
"telephone_number": "208-289-3221",
"fax_number": "208-289-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 EAST MAIN ST",
"city": "KENDRICK",
"state": "ID",
"postal_code": "835370160",
"telephone_number": "208-289-3221",
"fax_number": "208-289-3721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY F. SOWLE DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "SOWLE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-289-3221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "66D1616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kendrick, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.