Organization Active NPI

Bringhurst Family Dentistry, PLLC

  • Dental Clinic/Center
  • Pocatello, ID
National Provider Identifier
1841345261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRINGHURST FAMILY DENTISTRY, PLLC
Practice address
1175 Call PL Ste 200
Pocatello, ID 83201-3078
Phone
(208) 232-1260
Fax
(208) 232-2599
NPI assigned
Jan 24, 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
Mrs. Susan Bringhurst
Title
Manager
Phone
(208) 232-1260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1175 Call PL Ste 200
Pocatello, ID 83201-3078

Mailing address

1175 Call PL Ste 200
Pocatello, ID 83201-3078
Phone (208) 232-1260

National Provider Directory

National Provider Directory

Locations

1175 Call Pl
Ste 200
Pocatello, ID 83201
Phone (208) 232-1260

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841345261",
    "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": "832013078",
            "telephone_number": "208-232-1260",
            "fax_number": "208-232-2599"
        },
        {
            "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": "832013078",
            "telephone_number": "208-232-1260",
            "fax_number": "208-232-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINGHURST FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRINGHURST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-232-1260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, 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.