NPIMap

Organization Active NPI

Bird Family Dental, PLLC

  • Dental Clinic/Center
  • Pinehurst, ID
National Provider Identifier
1992143978
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D-4491 Issued in ID
Legal business name
BIRD FAMILY DENTAL, PLLC
Practice address
8 N Division St
Pinehurst, ID 83850
Phone
(208) 682-4540
NPI assigned
Jun 12, 2013
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Dr. Jayson Anders Bird, DDSNPI 1629416151
Title
Owner
Phone
(208) 680-5144

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
Dental Clinic/Center 261QD0000X D-4491 ID Primary

Addresses

Primary practice location

8 N Division St
Pinehurst, ID 83850

Mailing address

PO Box 609
Pinehurst, ID 83850-0609
Phone (208) 682-4540

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, 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": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1992143978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "PINEHURST",
            "state": "ID",
            "postal_code": "838500609",
            "telephone_number": "208-682-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N DIVISION ST",
            "city": "PINEHURST",
            "state": "ID",
            "postal_code": "83850",
            "telephone_number": "208-682-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "ANDERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-680-5144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-4491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.