TDC Gooding PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TDC GOODING PLLC

Practice address

325 Main Street
Gooding, ID 83330

Phone

(208) 934-8080

NPI assigned

Nov 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Don S Wyatt, DDS

Title

DDS/Owner

Phone

(208) 324-8861

Specialties & licenses 1

Addresses

Other names 1

• Today's Dental Care Gooding Doing business as

Locations

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1982173746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAIN STREET",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "83330",
            "telephone_number": "208-934-8080",
            "fax_number": "208-934-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAIN STREET",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "83330",
            "telephone_number": "208-934-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC GOODING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "208-324-8861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Dental Care Gooding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Joseph Short, RN
• Megan E Silva, LMSW
• Charles Bryan Simpson, FNP
• Kade Sorensen, PA-C
• Jennifer Rose Strout, L LMSW-37035
• The Walker Center for Alcoholism and Drug Abuse, Inc.
• The Walker Center for Alcoholism and Drug Abuse, Inc.
• Oliver W Thompson, MPH
• Timothy Gribbin Tomlinson, DPM
• Toone Inc.

• General Practice Dentistry in Gooding, ID
• Providers in Gooding, 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 Nov 21, 2018; 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.