Organization Active NPI

Comfort Care Dental

  • Dentist
  • Pocatello, ID
National Provider Identifier
1982086856
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMFORT CARE DENTAL
Practice address
485 E Alameda Rd
Pocatello, ID 83201-3609
Phone
(208) 233-5362
Fax
(208) 234-8056
NPI assigned
Jun 26, 2015
Last updated
Jun 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Cheryl Dawn Czyzewski
Title
Insurance Manager
Phone
(208) 233-5362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

485 E Alameda Rd
Pocatello, ID 83201-3609

Mailing address

485 E Alameda Rd
Pocatello, ID 83201-3609
Phone (208) 233-5362

National Provider Directory

National Provider Directory

Locations

485 E Alameda Rd
Pocatello, ID 83201
Phone (208) 233-5362

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1982086856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 E ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013609",
            "telephone_number": "208-233-5362",
            "fax_number": "208-234-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013609",
            "telephone_number": "208-233-5362",
            "fax_number": "208-234-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "CZYZEWSKI",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "208-233-5362"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.