Dental Partners Ustick PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D4634 Issued in ID

Legal business name

DENTAL PARTNERS USTICK PLLC

Practice address

4403 E Ustick Rd # 104
Caldwell, ID 83605-6802

Phone

(208) 994-3033

Fax

(208) 475-6599

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Klint Keller, DDS

Title

Dr

Phone

(208) 446-8400

Specialties & licenses 1

Addresses

Other names 1

• Today's Dentistry Caldwell Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Richard Huffmire, D.M.D.

  • General Practice Dentistry
  • San Marcos, CA
  • NPI 1366805491
  NPD (past)

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1841643533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 E USTICK RD # 104",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056802",
            "telephone_number": "208-994-3033",
            "fax_number": "208-475-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 E USTICK RD # 104",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056802",
            "telephone_number": "208-994-3033",
            "fax_number": "208-475-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PARTNERS USTICK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KLINT",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "208-446-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D4634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Dentistry Caldwell",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cameron Gregory Davis
• Hector De Leon, LSW, CADC
• Selene Delgado Caldera, APRN-CNP
• Holle Delgado
• Tara V Dennis
• Designers Medicine LLC
• Maya Jenae Dias, MSW
• Dave Walter Dickinson II
• Julene Dillehay, LCPC
• Rachel Djurich, PHARMD

• Dental Clinic/Center in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.