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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: August 16, 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
Phone(208) 336-8801
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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.

DR. ERNEST A MESHACK-HART DDS
Dentist (General Practice)
2301 N 36TH ST STE 102
BOISE, ID 83703
Ada County (208) 336-8801
DR. RAQUEL BAXTER D.D.S
Dentist
2301 N 36TH ST STE 102
BOISE, ID 83703
Ada County (208) 336-8801
KAYLA R CASEBIER DDS
Dentist (General Practice)
2301 N 36TH ST STE 102
BOISE, ID 83703
Ada County (208) 336-8801
COMMUNITY HEALTH CLINICS, INC.
Clinic/Center (Dental)
2301 N 36TH ST STE 102
BOISE, ID 83703
Ada County (208) 336-8801
COMMUNITY HEALTH CLINICS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2301 N 36TH ST STE 102
BOISE, ID 83703
Ada County (208) 336-8801
DR. KRISTINE B ALI DMD
Dentist (General Practice)
2301 N 36TH ST STE 102
BOISE, ID 83703
Ada County (208) 336-8801

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 Nathaniel Bork's NPI number?

The NPI number for Nathaniel Bork is 1972885200. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Nathaniel Bork located?

Nathaniel Bork practices at 2301 N 36th St Ste 102, Boise, ID 83703. The listed phone number is (208) 336-8801.

What is Nathaniel Bork's specialty?

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

Is Nathaniel Bork enrolled in Medicare?

Yes. Nathaniel Bork is registered in the Medicare PECOS enrollment system.

What insurance does Nathaniel Bork accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Nathaniel Bork as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathaniel Bork was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.