Amanda G Caswell-Burt, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-4371-PD Issued in ID

Practice address

1212 N. Division Ave.
Sandpoint, ID 83864

Phone

(208) 597-7800

Fax

(877) 871-1382

NPI assigned

Jul 11, 2011

Last updated

Jul 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: acaswellburt627504@direct.multicare.org
• Direct secure messaging: amanda.caswell.1@32745.direct.athenahealth.com
• Direct secure messaging: amanda.caswellburtdds.p1@direct.kch.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Boundary Regional Community Health Center Inc

  dba Kaniksu Community Health

  • Federally Qualified Health Center (FQHC)
  • Bonners Ferry, ID
  • NPI 1306883244
  NPD (past)
• Boundary Regional Community Health Center, Inc.

  dba Kaniksu Community Health

  • Federally Qualified Health Center (FQHC)
  • Sandpoint, ID
  • NPI 1316343320
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1942598040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640074",
            "telephone_number": "208-597-7800",
            "fax_number": "877-871-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N. DIVISION AVE.",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-597-7800",
            "fax_number": "877-871-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASWELL-BURT",
        "first_name": "AMANDA",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4371",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4371",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4371-PD",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Calderon Soto Sr., LPC
• Emily Callaghan
• Ashley Renee Carlson, FNP-BC
• Holly Lanette Carroll, LCSW
• Cassie Peck Counseling LLC
• Charity Catlin, LM, CPM
• Cecilia Alleen Cecil, LCSW
• Nicole Chamberlain, IBCLC
• Duann Celine Chambers
• Christina M Rust DPT & Associates PC (7BWell Medicine)

• Pediatric Dentistry in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.