NPIMap

Organization Active NPI

Dental Care for Kids

  • Pediatric Dentistry
  • Meridian, ID
National Provider Identifier
1972863678
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D-3868 Issued in ID
Legal business name
DENTAL CARE FOR KIDS
Practice address
3235 N Towerbridge Way
Suite 200
Meridian, ID 83646-5721
Phone
(208) 888-7711
Fax
(208) 888-3089
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Joel Eldon Whitt, DMDNPI 1326098682
Title
Dentist/ Owner
Phone
(208) 888-7711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X D-3868 ID Primary

Addresses

Primary practice location

3235 N Towerbridge Way
Suite 200
Meridian, ID 83646-5721

Mailing address

3235 N Towerbridge Way
Suite 200
Meridian, ID 83646-5721
Phone (208) 888-7711

Other identifiers 1

IdentifierTypeStateIssuer
D4065OtherIDIDAHO LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1972863678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 N TOWERBRIDGE WAY",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465721",
            "telephone_number": "208-888-7711",
            "fax_number": "208-888-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N TOWERBRIDGE WAY",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465721",
            "telephone_number": "208-888-7711",
            "fax_number": "208-888-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "WHITT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "208-888-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-3868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO LICENSE",
            "identifier": "D4065",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.