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NPI · 1891954343 · NPPES-sourced

Southridge Dental

ActiveGeneral Practice Dentistry
NPI Number
1891954343
Type 2 · Organisation
Taxonomy Code
1223G0001X
Contact
(208) 466-2458
License ID · D-3499
Last Updated
About 17 years ago (Jun 2008)
Enumerated 2008-06-09
Primary practice addressID · 83686-8482
2811 12th Ave RdNampa, ID 83686-8482
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About this NPIWhat this record shows.

NPI 1891954343 is registered to Southridge Dental, a healthcare organisation classified as "General Practice Dentistry" and located at 2811 12th Ave Rd in Nampa, Idaho. The organisation's authorised official is Robert Pratt. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2008-06-09
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Southridge Dental accepts. To confirm in-network status with your specific health plan, contact Southridge Dental directly at (208) 466-2458.

Frequently asked

Yes. NPI 1891954343 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 466-2458.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Southridge Dental is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223G0001X
Last updated2008-06
Enumerated2008-06-09
StatusActive
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