Individual provider Active NPI

Bruce E Newcomb, DDS

  • Endodontics
  • Boise, ID
National Provider Identifier
1265540835
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D3450EN Issued in ID
Practice address
1070 N Curtis Road, #240
Boise, ID 83706-1258
Phone
(208) 376-6307
Fax
(208) 376-9011
NPI assigned
Aug 25, 2006
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D3450EN ID Primary

Addresses

Primary practice location

1070 N Curtis Road, #240
Boise, ID 83706-1258

Mailing address

1070 N Curtis Road, #240
Boise, ID 83706-1258
Phone (208) 376-6307

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
D3450ENIDMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunstan and Newcomb, LLC Endodontics CurrentSince Jun 15, 2021 Accepting new patients

Locations

1070 N Curtis Rd
Ste 240
Boise, ID 83706
Phone (208) 376-6307

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1265540835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N CURTIS ROAD, #240",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061258",
            "telephone_number": "208-376-6307",
            "fax_number": "208-376-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N CURTIS ROAD, #240",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061258",
            "telephone_number": "208-376-6307",
            "fax_number": "208-376-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "BRUCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "ID",
            "license": "D3450EN",
            "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 Jun 7, 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.