Boise ENT, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

BOISE ENT, LLC

Practice address

8854 W Emerald St Ste 150
Boise, ID 83704-4844

Phone

(208) 229-2368

NPI assigned

Mar 16, 2021

Last updated

May 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald J Beasley, MDNPI 1770573750

Title

Owner

Phone

(208) 229-2368

Specialties & licenses 1

Addresses

Other names 1

• Donald J Beasley Sole MBR Former legal business name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDHDCD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald J Beasley, MD

  • Otolaryngology Physician
  • Boise, ID
  • NPI 1770573750
  Medicare reassignment Care Compare group NPD Authorized official
• Dylan James Bybee, PA-C

  • Physician Assistant
  • Boise, ID
  • NPI 1386313690
  Medicare reassignment Care Compare group
• Ashlee Bauter, N.P.

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1356602361
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1174108674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8854 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044844",
            "telephone_number": "208-229-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8854 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044844",
            "telephone_number": "208-229-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-229-2368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald J Beasley Sole MBR",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Donald J Beasley Sole MBR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Otolaryngology Physician in Boise, ID
• Providers in Boise, ID by specialty
• Otolaryngology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.