Active NPI
William Drayson Foxcroft
- Dentist
- Boise, ID
National Provider Identifier
1356193999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D-5621
- Practice address
- 4274 N Eagle Rd
Boise, ID 83713-0726 - Phone
- (408) 833-3173
- NPI assigned
- Apr 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-5621 | ID | Primary |
Addresses
Primary practice location
4274 N Eagle Rd
Boise, ID 83713-0726
Mailing address
13288 W Satinleaf Dr
Boise, ID 83713-1992
Phone (408) 833-3173
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-5621 | ID | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1356193999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13288 W SATINLEAF DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837131992",
"telephone_number": "408-833-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4274 N EAGLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837130726",
"telephone_number": "408-833-3173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOXCROFT",
"first_name": "WILLIAM",
"middle_name": "DRAYSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-05",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-5621",
"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 May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.