TDC Gooding PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TDC GOODING PLLC

Doing business as

Today's Dental Care Gooding

Practice address

325 Main Street
Gooding, ID 83330

Phone

(208) 934-8080

NPI assigned

Nov 21, 2018

Last updated

Nov 21, 2018By 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. Don S Wyatt, DDSNPI 1841494119

Title

DDS/Owner

Phone

(208) 324-8861

Specialties & licenses 1

Addresses

Other names 1

• Today's Dental Care Gooding Doing business as

Practitioners 1

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.

• Don S Wyatt, DDS

  • General Practice Dentistry
  • Jerome, ID
  • NPI 1841494119
  Authorized official Same address or phone

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. (The Walker Center)
• 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.