Playhouse Dentistry for Kids

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PLAYHOUSE DENTISTRY FOR KIDS

Practice address

125 S 10TH E
Mountain Home, ID 83647-3120

Phone

(208) 453-6188

NPI assigned

May 18, 2015

Organization subpart

No

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

Authorized official

Name

Rhonda Elquist

Title

Office Manager

Phone

(208) 453-6188

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1801274253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 10TH E",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 10TH E",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473120",
            "telephone_number": "208-453-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYHOUSE DENTISTRY FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "ELQUIST",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-453-6188"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy K. Pelletier, BA
• Joseph Pendleton, PHARMD
• Mischa Pesicek
• Jaysa Marie Pilant, LMSW
• Pine Counseling, LCSW, PLLC
• Connie S Powers, LMSW
• Anna Katrina Price, BSW
• Jonathan A Price, CADC
• Nathan Curran Price, O.D.
• Rhonda Kay Pyper

• Pediatric Dentistry in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.