Organization Active NPI

Watchdog LLC

  • Emergency Response System Companies
  • Meridian, ID
National Provider Identifier
1861854382
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Response System CompaniesTaxonomy code 333300000X
Legal business name
WATCHDOG LLC
Practice address
730 W Ustick Rd
Suite #130
Meridian, ID 83646-5941
Phone
(208) 401-6440
NPI assigned
Mar 23, 2016
Last updated
Mar 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
John Tencza
Title
Manager
Phone
(208) 401-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Response System Companies 333300000X NU Primary

Addresses

Primary practice location

730 W Ustick Rd
Suite #130
Meridian, ID 83646-5941

Mailing address

730 W Ustick Rd
Suite #130
Meridian, ID 83646-5941

Other identifiers 1

IdentifierTypeStateIssuer
M8078984MedicaidID

National Provider Directory

National Provider Directory

Locations

730 W Ustick Rd
Ste 130
Meridian, ID 83646
Phone (208) 401-6440

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1861854382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 W USTICK RD",
            "address_2": "SUITE #130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W USTICK RD",
            "address_2": "SUITE #130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465941",
            "telephone_number": "208-401-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATCHDOG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "TENCZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-401-6440"
    },
    "taxonomies": [
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8078984",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.