Individual provider Active NPI

Sindhu Rondla, DDS

  • General Practice Dentistry
  • Boise, ID
National Provider Identifier
1164945390
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-5227 Issued in ID
Practice address
8850 W Emerald St Ste 150
Boise, ID 83704-4809
Phone
(208) 273-4658
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-5227 ID Primary
General Practice Dentistry 1223G0001X 101532 CA

Addresses

Primary practice location

8850 W Emerald St Ste 150
Boise, ID 83704-4809

Mailing address

345 W Bobwhite CT Ste 140
Boise, ID 83706-3994
Phone (385) 501-3570

Other practice location 1

1332 E Yosemite Ave # 192
Manteca, CA 95336-5004
Phone (209) 923-6205

Other practice location 2

1097 N Jacksonmill Ave
Kuna, ID 83634-2086
Phone (208) 519-7171

Other practice location 3

345 W Bobwhite Ct Ste 140
Boise, ID 83706-3994
Phone (208) 281-3586

Other practice location 4

1916 Ellis Ave
Caldwell, ID 83605-4811
Phone (208) 506-3233

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
101532CAMDMarriage & Family Therapist
D-5227IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Dental Professionals, P.C. General Practice PastSince Jun 4, 2023 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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1164945390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W BOBWHITE CT STE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063994",
            "telephone_number": "385-501-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044809",
            "telephone_number": "208-273-4658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1332 E Yosemite Ave # 192",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953365004",
            "country_code": "US",
            "telephone_number": "209-923-6205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1097 N Jacksonmill Ave",
            "address_purpose": "LOCATION",
            "city": "Kuna",
            "state": "ID",
            "postal_code": "836342086",
            "country_code": "US",
            "telephone_number": "208-519-7171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 W Bobwhite Ct Ste 140",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837063994",
            "country_code": "US",
            "telephone_number": "208-281-3586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1916 Ellis Ave",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054811",
            "country_code": "US",
            "telephone_number": "208-506-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONDLA",
        "first_name": "SINDHU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5227",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101532",
            "primary": false
        }
    ],
    "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 12, 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.

Verify at the official NPI Registry.