NPIMap

Organization Active NPI

Towne Suare Dental

  • General Practice Dentistry
  • Rigby, ID
National Provider Identifier
1801098744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1828 Issued in ID
Legal business name
TOWNE SUARE DENTAL
Practice address
527 Rigby Lake Dr
Suite B
Rigby, ID 83442-1271
Phone
(208) 745-8704
Fax
(208) 745-7052
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard H. George, DMDNPI 1073629523
Title
Owner
Phone
(208) 745-8704

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D1828 ID Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D3820 ID

Addresses

Primary practice location

527 Rigby Lake Dr
Suite B
Rigby, ID 83442-1271

Mailing address

527 Rigby Lake Dr Ste B
Rigby, ID 83442-1271
Phone (208) 745-8704

Other identifiers 2

IdentifierTypeStateIssuer
69054OtherIDBLUE CROSS OF IDAHO
6K356OtherIDBLUE CROSS OF IDAHO

National Provider Directory

National Provider Directory

Locations

527 Rigby Lake Dr
Ste B
Rigby, ID 83442
Phone (208) 745-8704

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801098744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 RIGBY LAKE DR STE B",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421271",
            "telephone_number": "208-745-8704",
            "fax_number": "208-745-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 RIGBY LAKE DR",
            "address_2": "SUITE B",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421271",
            "telephone_number": "208-745-8704",
            "fax_number": "208-745-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE SUARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-745-8704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1828",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "69054",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "6K356",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.