Aspen Valley Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

D3710 Issued in ID

Legal business name

ASPEN VALLEY FAMILY DENTISTRY

Practice address

3423 Merlin Drive
Suite 100
Idaho Falls, ID 83404

Phone

(208) 523-4181

Fax

(208) 523-4182

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcus D Neff, DDS

Title

Owner/Dentist

Phone

(208) 523-4181

Specialties & licenses 1

Addresses

Other names 1

• Marcus Neff DDS Other name

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952316341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 MERLIN DRIVE",
            "address_2": "SUITE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-523-4181",
            "fax_number": "208-523-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 MERLIN DRIVE",
            "address_2": "SUITE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-523-4181",
            "fax_number": "208-523-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN VALLEY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-523-4181",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcus Neff DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.