Treasure Valley Family Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

License

D3533 Issued in ID

Legal business name

TREASURE VALLEY FAMILY DENTISTRY PC

Practice address

1570 E Heritage Park Street
Suite 100
Meridian, ID 83646

Phone

(208) 884-8066

Fax

(208) 884-4809

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Cory B Richards, DDS

Title

President/Dentist

Phone

(208) 884-8066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952484222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 E HERITAGE PARK STREET",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-884-8066",
            "fax_number": "208-884-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 E HERITAGE PARK STREET",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-884-8066",
            "fax_number": "208-884-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "208-884-8066",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Valley Assessments & Counseling LLC
• Treasure Valley Childrens Clinic, PC
• Treasure Valley Connections Counseling PLLC
• Treasure Valley Dermatology & Skin Cancer Center, PLLC
• Treasure Valley Eye Center P a
• Treasure Valley Family Medicine, PLLC
• Treasure Valley Foot and Ankle
• Treasure Valley Healthcare PLLC
• Treasure Valley Hearing and Balance Clinic, Inc
• Treasure Valley Home Care LLC (Home Instead Senior Care)

• Dentist in Meridian, ID
• Providers in Meridian, 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.