Active NPI
James Grundy, DDS
- General Practice Dentistry
- Boise, ID
National Provider Identifier
1063082048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-5281
- Practice address
- 1166 N Cole Rd Ste B
Boise, ID 83704-8658 - Phone
- (719) 440-4178
- NPI assigned
- Jun 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5281 | ID | |
| General Practice Dentistry | 1223G0001X | D-5281 | ID | Primary |
Addresses
Primary practice location
1166 N Cole Rd Ste B
Boise, ID 83704-8658
Mailing address
1166 N Cole Rd Ste B
Boise, ID 83704-8658
Phone (208) 322-7478
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5281 | ID | MD | Dentist |
| D-5281 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Grundy DDS PLLC | General Practice | Current | Accepting new patients |
Locations
1166 N Cole Rd
Ste B
Boise, ID 83704
Phone (208) 322-7478
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": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1063082048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 N COLE RD STE B",
"city": "BOISE",
"state": "ID",
"postal_code": "837048658",
"telephone_number": "208-322-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 N COLE RD STE B",
"city": "BOISE",
"state": "ID",
"postal_code": "837048658",
"telephone_number": "719-440-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDY",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-30",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "5281",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-5281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
- Kenneth Justin Grover, PA
- Molly Grow, GENETIC COUNSELOR
- Taylor Christine Grubbs, ATC
- Judith Lee Grucella, PT
- Morgan Brittney Gruhot, PHD, LCSW, CCHP-MH
- Zachary Ronald Grunig, PA-C
- Maria Chanel Gruver
- Melissa Gryder
- Gsded Idaho LLC (Interim HealthCare of Idaho)
- Guardian Pharmacy of Boise, LLC (Heartland Pharmacy - Boise)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.