Joseph Karl McCombs, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D-5005-PE Issued in ID

Practice address

1737 N 2000 W Ste G
Clinton, UT 84015-8215

Phone

(719) 649-6880

NPI assigned

Oct 21, 2009

Last updated

May 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 16, 2020 through Sep 16, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christopher T. Poulsen, DDS, PLLC

  dba Post Falls Periodontics

  • Periodontics
  • Post Falls, ID
  • NPI 1669892840
  NPD (past)

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1801122197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N CALGARY CT STE 102",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544000",
            "telephone_number": "208-777-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 N 2000 W STE G",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158215",
            "telephone_number": "719-649-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 Pepperrell St Bldg 3352",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365313",
            "country_code": "US",
            "telephone_number": "210-292-7236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 N Calgary Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838544000",
            "country_code": "US",
            "telephone_number": "208-777-1796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOMBS",
        "first_name": "JOSEPH",
        "middle_name": "KARL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-21",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "ID",
            "license": "D-5005-PE",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "25007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylin Long
• Kirt Dallas Longfellow, DMD
• Cassie Lopez
• Tyler Martineau
• Ann Maruri, DNP, CPNP
• Gregory Scott Medved
• Scott L Mitchell
• Jenny Marie Morales, SLP
• David D Mortensen, OD
• Mountain View Medical, LLC

• Periodontics in Clinton, UT
• Providers in Clinton, UT by specialty
• Periodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.