Awp Dental Group PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4145 Issued in ID

Legal business name

AWP DENTAL GROUP PC

Doing business as

Modern Smiles Nampa

Practice address

16458 N Midland Blvd
Nampa, ID 83687

Phone

(208) 461-5222

Fax

(208) 505-1883

NPI assigned

Jun 20, 2008

Last updated

Jan 15, 2025By 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

Chris A Satchwell, DMD

Title

Owner

Phone

(208) 573-2587

Specialties & licenses 1

Addresses

Other names 1

• Modern Smiles Nampa Doing business as

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1972764058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16458 N MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83687",
            "telephone_number": "208-461-5222",
            "fax_number": "208-505-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16458 N MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83687",
            "telephone_number": "208-461-5222",
            "fax_number": "208-505-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWP DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "SATCHWELL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-573-2587",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Smiles Nampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Nampa, ID
• Providers in Nampa, 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 Jan 15, 2025; 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.