1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Dermatology
  6. NPI Profile

DEBLIECK DERMATOLOGY
NPI 1497960983
Dermatology in Boise, ID

Active since May 10, 2007CLIA 13D1044436 · Microscopy
13176 W PERSIMMON LN, BOISE, ID 83713(208) 939-5030(208) 939-1892 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deblieck Dermatology NPPES

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

DEBLIECK DERMATOLOGY (NPI 1497960983) is a healthcare organization registered as a dermatology in Boise, Idaho and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through January 23, 2028 and lists Jennifer Deblieck, Physician-owner, as its authorized official.

NPPES Registry Identity

NPI1497960983
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJAN DEBLIECK MD PA
Location Address13176 W PERSIMMON LNBoise, ID 83713-1986
Mailing Address13176 W Persimmon LnBoise, ID 83713-1986 · (208) 939-5030 · Fax (208) 939-1892
Phone(208) 939-5030
Fax(208) 939-1892
Organization SubpartNo
Authorized OfficialJennifer DeblieckPhysician-owner · (208) 939-5030
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 17, 2007
✔ NPI 1497960983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in ID · M7045
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
13176 W PERSIMMON LN, Boise, ID 83713
Open in Google Maps ↗

Other Names 1

Doing Business AsDeblieck Dermatology

Other Identifiers 2

Medicare UPING37337ID
Medicare OSCAR/certification1368446ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 13D1044436

Deblieck Dermatology · Boise, ID
Active · expires Jan 23, 2028
CLIA Number13D1044436
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorJennifer A. Deblieck
Laboratory Phone(208) 939-5030
Laboratory LocationDeblieck Dermatology13176 W Persimmon Ln, Boise, ID 83713
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOISE SPEECH AND HEARING CLINIC
Speech-Language Pathologist
13176 W PERSIMMON LN, SUITE 120
BOISE, ID 83713
Ada County (208) 376-3591
BREK DAVID STOKER AUD, CCC-A
Specialist
13176 W PERSIMMON LN, #120
BOISE, ID 83713
Ada County (208) 376-3591
MRS. ALESIA J. HITCHCOCK M.S.
Speech-Language Pathologist
13176 W PERSIMMON LN, SUITE 120
BOISE, ID 83713
Ada County (208) 376-3591
DR. VICTOR HERBERT HORCH D.C.
Chiropractor
13176 W PERSIMMON LN, SUITE 110
BOISE, ID 83713
Ada County (208) 321-0044
DR. JENNIFER ANN DEBLIECK MD
Dermatology
13176 W PERSIMMON LN
BOISE, ID 83713
Ada County (208) 939-5030
JESS SEYMOUR BOEDER MS., CCC, SLP
Speech-Language Pathologist
13176 W PERSIMMON LN, STE. 120
BOISE, ID 83713
Ada County (208) 376-3591

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 Jan Deblieck MD PA's NPI number?

The NPI number for Jan Deblieck MD PA is 1497960983. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is doing business as Deblieck Dermatology.

Where is Jan Deblieck MD PA located?

Jan Deblieck MD PA is located at 13176 W Persimmon Ln, Boise, ID 83713. The listed phone number is (208) 939-5030.

What is Jan Deblieck MD PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Jan Deblieck MD PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D1044436) is associated with this NPI, valid through January 23, 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 Jan Deblieck MD PA was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.