Organization Active NPI

Twin Falls Dental PLLC

  • Dental Clinic/Center
  • Twin Falls, ID
National Provider Identifier
1851697114
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D4257 Issued in ID
Legal business name
TWIN FALLS DENTAL PLLC
Practice address
788 Eastland Dr
Suite a
Twin Falls, ID 83301-6856
Phone
(208) 733-2621
Fax
(208) 733-1086
NPI assigned
Feb 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Dr. Christopher Tiu, D.M.D.NPI 1730190950
Title
Dentist
Phone
(208) 733-2621

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 D4257 ID Primary

Addresses

Primary practice location

788 Eastland Dr
Suite a
Twin Falls, ID 83301-6856

Mailing address

PO Box 5559
Twin Falls, ID 83303-5559
Phone (208) 733-2621

National Provider Directory

National Provider Directory
Tax ID family
Frisco Modern Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1851697114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5559",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833035559",
            "telephone_number": "208-733-2621",
            "fax_number": "208-733-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 EASTLAND DR",
            "address_2": "SUITE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016856",
            "telephone_number": "208-733-2621",
            "fax_number": "208-733-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN FALLS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "TIU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-733-2621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D4257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.