Eagle River Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D-3666 Issued in ID

Legal business name

EAGLE RIVER DENTISTRY

Practice address

325 E Shore Dr
Suite 100
Eagle, ID 83616-6583

Phone

(208) 938-0280

NPI assigned

Jun 2, 2008

Last updated

Jun 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brooks Joseph Uniat, D.D.S.

Title

Owner

Phone

(208) 938-0280

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1972762342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E SHORE DR",
            "address_2": "SUITE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166583",
            "telephone_number": "208-938-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SHORE DR",
            "address_2": "SUITE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166583",
            "telephone_number": "208-938-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RIVER DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "UNIAT",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-938-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-3666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Internal Medicine, PLLC
• Eagle Natural Dentistry LLC
• Eagle Oral Surgery and Dental Implant Center PLLC
• Eagle Pediatrics,P.a. (Eagle Pediatrics)
• Eagle Physical Therapy PA
• Eagle River Psychiatry and Counseling
• Eagle Sport & Family Chiropractic PLLC
• Eagle Vision One PLLC (Vision One Eagle)
• Eagle Youth Counseling
• Lori Katherine Ebinger, PA-C

• Dental Clinic/Center in Eagle, ID
• Providers in Eagle, ID by specialty
• Dental Clinic/Center in Idaho

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