Organization Active NPI

Sandpoint Orthopedics, PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sandpoint, ID
National Provider Identifier
1861589236
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
SANDPOINT ORTHOPEDICS, PC
Practice address
606 N 3Rd Ave Ste 201
Sandpoint, ID 83864-1689
Phone
(208) 263-8597
Fax
(208) 265-0667
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Mrs. Darcy Sue Taylor
Title
Office Manager
Phone
(208) 263-8597

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

606 N 3Rd Ave Ste 201
Sandpoint, ID 83864-1689

Mailing address

606 N 3Rd Ave Ste 201
Sandpoint, ID 83864-1689
Phone (208) 263-8597

Other identifiers 8

IdentifierTypeStateIssuer
360191400OtherIDUS DEPT OF LABOR
7134737MedicaidWA
8M799OtherIDBLUE CROSS
808300500MedicaidID
1861589236MedicaidMT
1009215OtherIDIDAHO STATE INSURANCE
000010149140OtherIDREGENCE BLUE SHIELD
DE2554OtherIDRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1861589236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 201",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641689",
            "telephone_number": "208-263-8597",
            "fax_number": "208-265-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 201",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641689",
            "telephone_number": "208-263-8597",
            "fax_number": "208-265-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPOINT ORTHOPEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-263-8597",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "360191400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7134737",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8M799",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808300500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861589236",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO STATE INSURANCE",
            "identifier": "1009215",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010149140",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE2554",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.