Active NPI
Sandpoint Orthopedics, PC
- Sports Medicine (Orthopaedic Surgery) Physician
- Sandpoint, ID
National Provider Identifier
1861589236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360191400 | Other | ID | US DEPT OF LABOR |
| 7134737 | Medicaid | WA | |
| 8M799 | Other | ID | BLUE CROSS |
| 808300500 | Medicaid | ID | |
| 1861589236 | Medicaid | MT | |
| 1009215 | Other | ID | IDAHO STATE INSURANCE |
| 000010149140 | Other | ID | REGENCE BLUE SHIELD |
| DE2554 | Other | ID | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI 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
- Sandpoint Family Medicine PA
- Sandpoint Family Services, LLC
- Sandpoint Health Care, PLLC
- Sandpoint Medical Investors, LLC
- Sandpoint Medical Massage and Bodyworks
- Sandpoint Pediatrics LLP
- Sandpoint Physical Therapy & Aquatic Center
- Sandpoint Physical Therapy PC
- Sandpoint Psychotherapy LLC
- Sandpoint Public Charter School Inc.
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.