NPIMap

Organization Active NPI

G. William Godfrey, DDS Lee R. Reddish, DDS PLLC

  • Dental Clinic/Center
  • Pocatello, ID
National Provider Identifier
1851566392
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
G. WILLIAM GODFREY, DDS LEE R. REDDISH, DDS PLLC
Doing business as
Valley View Family Dentistry
Practice address
1980 Birdie Thompson Dr
Pocatello, ID 83201-2755
Phone
(208) 233-8750
Fax
(208) 233-8751
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. Lee R Reddish, DDSNPI 1386716041
Title
Part-Owner Dentist
Phone
(208) 233-8750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1980 Birdie Thompson Dr
Pocatello, ID 83201-2755

Mailing address

1980 Birdie Thompson Dr
Pocatello, ID 83201-2755
Phone (208) 233-8750

Other names 1

  • Valley View Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1980 Birdie Thompson Dr
Pocatello, ID 83201
Phone (208) 233-8750

Practitioners & affiliated clinicians

Practitioners 3

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": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1851566392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 BIRDIE THOMPSON DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012755",
            "telephone_number": "208-233-8750",
            "fax_number": "208-233-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 BIRDIE THOMPSON DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012755",
            "telephone_number": "208-233-8750",
            "fax_number": "208-233-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. WILLIAM GODFREY, DDS LEE R. REDDISH, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "REDDISH",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PART-OWNER DENTIST",
        "authorized_official_telephone_number": "208-233-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley View Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2008; 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.