Active NPI
Dental Partners, PLLC
- General Practice Dentistry
- Nampa, ID
National Provider Identifier
1962568782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D3610
- Legal business name
- DENTAL PARTNERS, PLLC
- Practice address
- 203 7TH Ave S
Nampa, ID 83651-3846 - Phone
- (208) 466-8400
- Fax
- (208) 466-8436
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kat M Milton
- Title
- Office Manager
- Phone
- (208) 466-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D3610 | ID | Primary |
Addresses
Primary practice location
203 7TH Ave S
Nampa, ID 83651-3846
Mailing address
203 7TH Ave S
Nampa, ID 83651-3846
Phone (208) 466-8400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010143908 | Other | ID | BLUE SHIELD OF ID |
| 806628200 | Medicaid | ID | |
| 01478887 | Other | PA | UNITED CONCORDIA |
| 6H361 | Other | ID | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
203 7th Ave S
Nampa, ID 83651
Phone (208) 466-8400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Nampa, ID
- NPI 1942228176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429574400000",
"number": "1962568782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 7TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513846",
"telephone_number": "208-466-8400",
"fax_number": "208-466-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 7TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513846",
"telephone_number": "208-466-8400",
"fax_number": "208-466-8436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL PARTNERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2015-04-21",
"status": "A",
"authorized_official_last_name": "MILTON",
"authorized_official_first_name": "KAT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "208-466-8400",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D3610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF ID",
"identifier": "000010143908",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806628200",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "01478887",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "6H361",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.