DR. NATHANIEL A BORK DMD
NPI 1972885200
Dentist - General Practice in Boise, ID

Active since September 13, 2011PECOS Enrolled
2301 N 36TH ST STE 102, BOISE, ID 83703(208) 336-8801(208) 466-5359 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 28, 2020, Jun 14, 2017 (2 updates tracked since 2017).

About Dr. Nathaniel A Bork Dmd NPPES

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

DR. NATHANIEL A BORK DMD (NPI 1972885200) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D-5101) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972885200
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NATHANIEL A BORKCredential: DMD
Location Address2301 N 36TH ST STE 102Boise, ID 83703-5202
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 466-5359
Fax(208) 466-5359
Sole ProprietorNo
Enumeration DateSeptember 13, 2011
Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration
NPI 1972885200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in ID · D-5101 Licensed in AZ · D008311
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.

2301 N 36TH ST STE 102, Boise, ID 83703

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nathaniel A Bork Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dentist (General Practice)
2301 N 36TH ST STE 102
BOISE, ID 83703
Dentist (General Practice)
2301 N 36TH ST STE 102
BOISE, ID 83703
Dentist
2301 N 36TH ST STE 102
BOISE, ID 83703
Dentist (General Practice)
2301 N 36TH ST STE 102
BOISE, ID 83703
Clinic/Center (Dental)
2301 N 36TH ST STE 102
BOISE, ID 83703
Clinic/Center (Federally Qualified Health Center (FQHC))
2301 N 36TH ST STE 102
BOISE, ID 83703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972885200, enumerated as an "individual" on September 13, 2011.

The provider is located at 2301 N 36TH ST STE 102 BOISE, ID 83703 and the phone number is (208) 336-8801.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.