Paramount Family Dental, LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

PARAMOUNT FAMILY DENTAL, LLC

Practice address

10162 W Fairview Ave
Boise, ID 83704-8117

Phone

(208) 375-0192

Fax

(208) 378-7333

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Allison Rochelle Grover

Title

Office Administrator

Phone

(208) 375-0192

Specialties & licenses 1

Addresses

Practitioners 1

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

• John Eugene Hisel Jr., DDS

  • Dentist
  • Boise, ID
  • NPI 1952346082
  NPD (past)

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1194182725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10162 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048117",
            "telephone_number": "208-375-0192",
            "fax_number": "208-378-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10162 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048117",
            "telephone_number": "208-375-0192",
            "fax_number": "208-378-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "208-375-0192"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Panzer, LCSW
• Marc Papantonio, DC
• Jim G. Pape, PT
• Katherine Ann Pape, LCSW
• Mark Ryan Papenfuss, D.O.
• Kristi Michel Pardue, SLP
• Mark G Parent, MD
• Karrie Ann Pargman
• Grace Macall Pariseau
• Alyssa Lejeana Parish

• Public Health Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• Public Health Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.