Elite Dental Care, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

D-3536 Issued in ID

Legal business name

ELITE DENTAL CARE, PLLC

Practice address

3423 Merlin Dr
Suite 100
Idaho Falls, ID 83404-7430

Phone

(208) 542-9900

Fax

(208) 523-4182

NPI assigned

Jan 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J. Jeffrey Ybarguen, D.D.S.

Title

Owner

Phone

(208) 542-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jeff Ybarguen, DDS

  • Dentist
  • Idaho Falls, ID
  • NPI 1790092468
  NPD (past)

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1851449003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 MERLIN DR",
            "address_2": "SUITE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047430",
            "telephone_number": "208-542-9900",
            "fax_number": "208-523-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 MERLIN DR",
            "address_2": "SUITE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047430",
            "telephone_number": "208-542-9900",
            "fax_number": "208-523-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "YBARGUEN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-542-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-3536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806047500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elison Oral and Maxillofacial Surgery
• Elison Orthodontics PLLC (Joseph H. Elison and/or Joseph Matthew Elison)
• Joseph Hyrum Elison, DDSMS
• Joseph Matthew Elison, DDSMS
• Michael Aaron Elison, DMD
• Elite Spinal Performance Chiropractic PA
• Elizabeth a Sharp-Marsden FNP PLLC
• Sheri Lisa Elkington
• Mark Alan Ellett, AGACNP
• Christy Jean Ellingford, CMT

• Dentist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.