Organization Active NPI

Dental Partners, PLLC

  • General Practice Dentistry
  • Nampa, ID
National Provider Identifier
1962568782
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3610 Issued in ID
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

Updated by the provider on Apr 21, 2015

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000010143908OtherIDBLUE SHIELD OF ID
806628200MedicaidID
01478887OtherPAUNITED CONCORDIA
6H361OtherIDBLUE CROSS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.