Tanner H Bringhurst, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5278 Issued in ID

Practice address

1175 Call PL Ste 200
Pocatello, ID 83201-4990

Phone

(208) 232-1260

Fax

(208) 240-6475

NPI assigned

Jun 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bringhurst Family Dentistry, PLLC

  • Dental Clinic/Center
  • Pocatello, ID
  • NPI 1841345261
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1821664459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CALL PL STE 200",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014990",
            "telephone_number": "208-232-1260",
            "fax_number": "208-240-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CALL PL STE 200",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014990",
            "telephone_number": "208-232-1260",
            "fax_number": "208-240-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINGHURST",
        "first_name": "TANNER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D5278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex J Bringhurst, CRNA
• Andrew Bringhurst, RBT
• Eric Lamont Bringhurst, D.D.S.
• G. Louis Bringhurst, D.D.S.
• Shaylor Bringhurst, MD
• Hannah Brinser, M.A., LPC, NCC
• Paul W. Brinton, CRNA
• Staci J. Briscoe, LSW
• Brizzee Family Medicine Inc
• David Paul Brizzee

• General Practice Dentistry in Pocatello, ID
• Providers in Pocatello, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.