Errol C Fife DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D 1587 Issued in ID

Legal business name

ERROL C FIFE DDS PA

Doing business as

Harrison Dental

Practice address

1675 W Hill Rd
Boise, ID 83702-0982

Phone

(208) 342-3695

Fax

(208) 342-4065

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Errol C Fife, DDS

Title

Owner President

Phone

(208) 342-3695

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harrison Dental Doing business as

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1972612489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 W HILL RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020982",
            "telephone_number": "208-342-3695",
            "fax_number": "208-342-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 W HILL RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020982",
            "telephone_number": "208-342-3695",
            "fax_number": "208-342-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERROL C FIFE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "ERROL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "208-342-3695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D 1587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002562000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Ermann, CLINICAL INTERN
• Kristin Elizabeth Ernest, MED LMFT
• Eros Health, LLC
• Kathy S Eroschenko, PHARMD
• Annelise Eileen Erpenbeck, PA-C
• Darla Ersland
• Leanne Elizabeth Ertle, PHARMD
• Ann E Erwin, MD
• Thomas Barrett Eschen, MD
• Gianna Escobedo

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.