CD Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CD ORTHODONTICS PLLC

Practice address

2721 S 10TH Ave
Caldwell, ID 83605-5792

Phone

(208) 467-5100

NPI assigned

Oct 5, 2023

Organization subpart

No

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

Authorized official

Name

Michael Pysnak, DMD

Title

Owner

Phone

(208) 467-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1972383941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 W IOWA AVE STE 103",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862856",
            "telephone_number": "208-467-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055792",
            "telephone_number": "208-467-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "PYSNAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-467-5100",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Allison Cash Haggerty, RN
• Hijiriko Castleman, LPC
• Elizabeth Castro
• Darci Caywood, RDMS
• Caleb P Cazier, DPT
• Julia Lyn Cdebaca, LCPC
• Caleb James Celuch, RN
• Joni Brooke Chadez-Linder, RN
• Sulabha Chaganaboyana, M.D.
• Bobby Chawla, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.