P Praxis·MD
● Active Type 2 · Organization Subpart

Jonathan Nash, DDS Pc

Dentist·Lewiston, ID· NPI 1205006103 · Enumerated 2008 · 18 years on NPI
Jonathan Nash, DDS Pc is 1 of 1099 dentist organizations in Idaho.
NPI age
18 years
Enumerated 2008-03-06
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nash
Owner
Last NPPES update
2024-07-29
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
2517 17th St, Suite A
Lewiston, ID 835016311
📞 2087461373fax 2087469855
Mailing address
2517 17th St
Lewiston, ID 835016311
📞 2087461373fax 2087469855

Authorized official

Jonathan B Nash, DDS
Owner
📞 2087461373

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    ID license #D3242 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 (ID) 149960173 ADA
01 (ID) 6A242 BLUE CROSS
05 (ID) 805043900
01 (ID) 000010011285 REGENCE BLUE SHIELD
01 (ID) 1992813182 NPI # INDIVIDUAL
01 (ID) 9201666 IDAHO SMILES - DORAL

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Dentistry By Design
    Type code 3 recorded 2023-07-18
  • Dentistry By Design
    Type code 3 recorded 2008-03-06

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Subpart of Dentistry By Design.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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