Epp Idaho PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

EPP IDAHO PLLC

Practice address

403 S 11TH St Ste 230
Boise, ID 83702-6968

Phone

(208) 386-3636

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Vicki Gorlitz

Title

Insurance Manager

Phone

(248) 505-9977

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1144997149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 MARYLAND WAY STE 115",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S 11TH ST STE 230",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026968",
            "telephone_number": "208-386-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPP IDAHO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "GORLITZ",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "248-505-9977"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassie E Enos, PA-C
• Maisy Enos
• Sarah Maria Enright, DMD
• Tristan Donovan Enright, M.S., LPC
• Enso Rising Therapy
• Jason Epp
• Ted D Epperly, M.D.
• John P Epperson Jr., M.D.
• Breanna Epps, LCSW
• Tara Erbele, M.D.

• Endodontics in Boise, ID
• Providers in Boise, ID by specialty
• Endodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.