Individual provider Active NPI

Garrett Steel

  • General Practice Dentistry
  • Meridian, ID
National Provider Identifier
1952081358
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-5550 Issued in ID
Practice address
2274 N Eagle Rd Ste 130
Meridian, ID 83646-6617
Phone
(120) 889-3544
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-5550 ID Primary

Addresses

Primary practice location

2274 N Eagle Rd Ste 130
Meridian, ID 83646-6617

Mailing address

2274 N Eagle Rd Ste 130
Meridian, ID 83646-6617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20231031002355 ID Order and Referring Only - DentistPractitioner - Dentist 0042666851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-5550IDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1952081358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 N EAGLE RD STE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 N EAGLE RD STE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466617",
            "telephone_number": "120-889-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEL",
        "first_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.