NPIMap

Organization Active NPI

Associated Dentists of Coeur D'Alene, PA.

  • General Practice Dentistry
  • Coeur d'Alene, ID
National Provider Identifier
1841201548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1899 Issued in ID
Legal business name
ASSOCIATED DENTISTS OF COEUR D'ALENE, PA.
Practice address
1800 Lincoln Way
Suite 100
Coeur D Alene, ID 83814-2570
Phone
(208) 765-3322
Fax
(208) 765-1024
NPI assigned
Aug 10, 2006
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. Stan Rasmussen, DDS
Title
Vice President
Phone
(208) 765-3322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D1899 ID Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D1528 ID

Addresses

Primary practice location

1800 Lincoln Way
Suite 100
Coeur D Alene, ID 83814-2570

Mailing address

1800 Lincoln Way
Suite 100
Coeur D Alene, ID 83814-2570
Phone (208) 765-3322

National Provider Directory

National Provider Directory

Locations

1800 Lincoln Way
Ste 100
Coeur D Alene, ID 83814
Phone (208) 699-4312

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841201548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN WAY",
            "address_2": "SUITE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142570",
            "telephone_number": "208-765-3322",
            "fax_number": "208-765-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN WAY",
            "address_2": "SUITE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142570",
            "telephone_number": "208-765-3322",
            "fax_number": "208-765-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTISTS OF COEUR D'ALENE, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "208-765-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1899",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, 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.