NPIMap

Organization Active NPI

Brian Bird DMD, PLLC

  • Dentist
  • Boise, ID
National Provider Identifier
1134567852
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-3837 Issued in ID
Legal business name
BRIAN BIRD DMD, PLLC
Practice address
1744 N Mitchell St
Boise, ID 83704-6542
Phone
(208) 322-1263
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Brian R BirdNPI 1316931819
Title
Owner
Phone
(208) 869-1038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D-3837 ID Primary

Addresses

Primary practice location

1744 N Mitchell St
Boise, ID 83704-6542

Mailing address

1744 N Mitchell St
Boise, ID 83704-6542
Phone (208) 322-1263

National Provider Directory

National Provider Directory

Locations

1744 N Mitchell St
Boise, ID 83704
Phone (208) 322-1263

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1134567852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 N MITCHELL ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046542",
            "telephone_number": "208-322-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 N MITCHELL ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046542",
            "telephone_number": "208-322-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BIRD DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-869-1038"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-3837",
            "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 Feb 8, 2016; 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.