Jonathan W Pluid, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4675 Issued in ID

Practice address

4274 N Eagle Rd
Boise, ID 83713-0726

Phone

(208) 938-8228

NPI assigned

Jun 23, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1922480284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 W LAUGHTON DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466224",
            "telephone_number": "208-771-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130726",
            "telephone_number": "208-938-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUID",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Plew, LMSW
• Edward Aaron Plies, LCSW
• Natasha Plowman, LMSW
• PLS Care Impact LLC
• Logan Pluckebaum, IP
• Margaret-Mary Pluskal, MD
• Michael Joseph Plyer, ND, NCTMB
• PMR Healthcare
• John Marlin Poarch, LCSW
• Jenna Poell, DTCM

• General Practice Dentistry in Boise, ID
• Providers in Boise, 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 Jun 23, 2015; 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.