WEST RIVER DENTAL – NPI #1295478519
Clinic/Center

WEST RIVER DENTAL is an AHC clinic located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1295478519 to WEST RIVER DENTAL on April 14, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST RIVER DENTAL below.

NPI Profile for
WEST RIVER DENTAL

NPI Number
1295478519
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEST RIVER DENTAL
Primary location
1850 W BROADWAY ST
IDAHO FALLS, ID 83402-3044
Phone: (208) 523-3453 Fax: (208) 523-3458
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAN GREENHALGH
OWNER DOCTOR
Phone: (208) 523-3453
Updated
Certification Date
Apr 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.