Active NPI
Michael W Hurd, D.D.S.
- General Practice Dentistry
- Meridian, ID
National Provider Identifier
1104869841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- ID03733
- Practice address
- 1570 E Heritage Park St
Suite 175
Meridian, ID 83646 - Phone
- (208) 888-9645
- Fax
- (208) 288-0480
- NPI assigned
- Jun 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | ID03733 | ID | Primary |
Addresses
Primary practice location
1570 E Heritage Park St
Suite 175
Meridian, ID 83646
Mailing address
13413 W Wittenburg St
Boise, ID 83713-0840
Phone (208) 938-2462
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ID03733 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willis Family Chiropractic, LLC | 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.
-
- Chiropractor
- Boise, ID
- NPI 1114191137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104869841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13413 W WITTENBURG ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837130840",
"telephone_number": "208-938-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 E HERITAGE PARK ST",
"address_2": "SUITE 175",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83646",
"telephone_number": "208-888-9645",
"fax_number": "208-288-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURD",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "ID03733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.