Individual provider Active NPI

Najla Pajazetovic, DDS

  • General Practice Dentistry
  • Boise, ID
National Provider Identifier
1023598240
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-4937 Issued in ID
Practice address
5737 W Fairview Ave
Boise, ID 83706-1168
Phone
(208) 322-3010
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-4937 ID Primary

Addresses

Primary practice location

5737 W Fairview Ave
Boise, ID 83706-1168

Mailing address

11588 W Gabrielle Dr
Boise, ID 83713-7881
Phone (208) 559-3609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D-4937IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles 4 Kids Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1023598240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11588 W GABRIELLE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137881",
            "telephone_number": "208-559-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061168",
            "telephone_number": "208-322-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJAZETOVIC",
        "first_name": "NAJLA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.