Active NPI
Little Smiles Pediatric Dentistry PC
- Pediatric Dentistry
- Post Falls, ID
National Provider Identifier
1861926677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D3781-PD
- Legal business name
- LITTLE SMILES PEDIATRIC DENTISTRY PC
- Practice address
- 602 N Calgary CT
Suite 201
Post Falls, ID 83854-4000 - Phone
- (208) 777-9331
- NPI assigned
- Apr 18, 2017
- 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
- Bradley Barlow, DDS
- Title
- President
- Phone
- (208) 777-9331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D3781-PD | ID | Primary |
Addresses
Primary practice location
602 N Calgary CT
Suite 201
Post Falls, ID 83854-4000
Mailing address
602 N Calgary CT
Suite 201
Post Falls, ID 83854-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28639 | Medicaid | ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492473600000",
"number": "1861926677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N CALGARY CT",
"address_2": "SUITE 201",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838544000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N CALGARY CT",
"address_2": "SUITE 201",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838544000",
"telephone_number": "208-777-9331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE SMILES PEDIATRIC DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A",
"authorized_official_last_name": "BARLOW",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-777-9331",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "ID",
"license": "D3781-PD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28639",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Post Falls, ID
- Megan Linders, DO
- Lorene H Lindley, MD
- Jonathan Jay Linthicum, M.D.
- Mary Margaret Liter, ARNP
- Little Smiles Pedatric Dentistry of North Idaho
- Little Summits Therapy LLC
- Abigail Diane Livesey, LMT
- Living Oak Integrated Medicine and Rehabilitation PLLC
- Living Stones Counseling LLC
- Christine Livingston
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.