Tree City Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TREE CITY FAMILY DENTAL

Practice address

7301 W. Emerald St Ste. 102
Boise, ID 83704

Phone

(208) 286-2699

Fax

(208) 350-6526

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Dustin Connaughton, DDS

Title

Dentist/Owner

Phone

(208) 286-2699

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney Morgan Bator, DDS

  • General Practice Dentistry
  • Boise, ID
  • NPI 1619242112
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1891304002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W. EMERALD ST STE. 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-286-2699",
            "fax_number": "208-350-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W. EMERALD ST STE. 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-286-2699",
            "fax_number": "208-350-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE CITY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "CONNAUGHTON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "208-286-2699",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9200495",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Treasure Valley Speech and Language, LLC
• Treasure Valley Spine & Sports Center, PLLC
• Treasure Valley Surgical Assistants
• Treasure Valley Therapy, LLC
• Tree City Eyecare PLLC
• Tree City Wellness, LLC
• Tree of Life Counseling
• Kimberly Trehal, LCSW
• Del Trejo, PTA
• Trellis ABA Therapy, LLC

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.