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DENTISTS OF BOISE AND ORTHODONTICS
NPI 1235747338
Dentist - General Practice in Boise, ID

Active since July 15, 2020CLIA 13D2337812 · Waiver
7500 W STATE ST STE 110, BOISE, ID 83714(208) 258-7740(208) 350-6895 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2022, Jul 15, 2020 (2 updates tracked since 2020).

About Dentists Of Boise And Orthodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTISTS OF BOISE AND ORTHODONTICS (NPI 1235747338) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Kevin Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1235747338
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTISTS OF BOISE AND ORTHODONTICS, PC
Location Address7500 W STATE ST STE 110Boise, ID 83714-6074
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 852-0892
Phone(208) 258-7740
Fax(208) 350-6895
Organization SubpartNo
Authorized OfficialKevin JohnsonOwner · (208) 258-7740
Enumeration DateJuly 15, 2020
Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1235747338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
7500 W STATE ST STE 110, Boise, ID 83714
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Other Names 1

Doing Business AsDentists Of Boise And Orthodontics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2337812

Dentists Of Boise And Orthodontics · Boise, ID
Active · expires Jan 28, 2028
CLIA Number13D2337812
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorKevin B. Johnson
Laboratory Phone(208) 258-7740
Laboratory LocationDentists Of Boise And Orthodontics7500 W State St, Boise, ID 83714
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dentists Of Boise And Orthodontics, PC's NPI number?

The NPI number for Dentists Of Boise And Orthodontics, PC is 1235747338. It was assigned to this organization in the NPPES registry on July 15, 2020. The provider is doing business as Dentists Of Boise And Orthodontics.

Where is Dentists Of Boise And Orthodontics, PC located?

Dentists Of Boise And Orthodontics, PC is located at 7500 W State St Ste 110, Boise, ID 83714. The listed phone number is (208) 258-7740.

What is Dentists Of Boise And Orthodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Dentists Of Boise And Orthodontics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2337812) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dentists Of Boise And Orthodontics, PC was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.