Clock Tower Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D-4121-OR Issued in ID

Legal business name

CLOCK TOWER ORTHODONTICS, PC

Practice address

4203 Clock Tower Ave
Caldwell, ID 83607-5236

Phone

(208) 454-4112

Fax

(208) 454-5155

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Loren E Short, DMDNPI 1053597245

Title

President

Phone

(208) 454-4112

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Loren E. Short, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Caldwell, ID
  • NPI 1053597245
  NPD (past) Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1942471966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 CLOCK TOWER AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075236",
            "telephone_number": "208-454-4112",
            "fax_number": "208-454-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 CLOCK TOWER AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075236",
            "telephone_number": "208-454-4112",
            "fax_number": "208-454-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOCK TOWER ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-454-4112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D-4121-OR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deann R Christian, LPC, NCC
• Clearview Ultrasound Inc.
• Kirby Lynn Clendenon, DDS
• Hannah Cliff, PA-C
• Clock Tower Dental PA
• Club 32 Dental Caldwell PLLC
• Rachelle Melisa Coca, DDS
• Krystle Ann Cogswell, FNP-C
• Ellen Cole
• Collins Family Dentistry

• Orthodontics and Dentofacial Orthopedics Dentistry in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.