Jaren M Thueson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5046 Issued in ID

Practice address

106 E 1St N
Rexburg, ID 83440-1614

Phone

(208) 356-5600

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James Cannon Allen DDS PC

  dba Rockhouse Dentistry

  • General Practice Dentistry
  • Rexburg, ID
  • NPI 1033461660
  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1902450430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E 1ST N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401614",
            "telephone_number": "208-356-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 1ST N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401614",
            "telephone_number": "208-356-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUESON",
        "first_name": "JAREN",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D5046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rockhousedentistry@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pdf",
            "address_1": "106 E 1st N",
            "city": "Rexburg",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834401614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacie Lonnette Thompson, MPT
• Chester C Thorson, PHARMD
• Kaden Threet
• Bruce Spencer Thueson, LPC
• Bryce Byram Thueson, O.D.
• Karissa Thueson, NNP
• Ashley Tippetts
• Bethany Tlustek
• Travis Roy Torngren, MD
• Total Renal Care, Inc. (Yellowstone Dialysis)

• General Practice Dentistry in Rexburg, ID
• Providers in Rexburg, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.