Organization Active NPI

Direct Orthopedic Care LLC

  • Orthopaedic Surgery Physician
  • Boise, ID
National Provider Identifier
1356769434
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DIRECT ORTHOPEDIC CARE LLC
Practice address
10178 W Fairview Ave Ste 101
Boise, ID 83704-8117
Phone
(208) 321-4000
Fax
(208) 855-0157
NPI assigned
Apr 4, 2014
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Sarah Thiry
Title
Ceo
Phone
(208) 321-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

10178 W Fairview Ave Ste 101
Boise, ID 83704-8117

Mailing address

3015 E Magic View Dr Ste 130
Meridian, ID 83642-3750
Phone (208) 321-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140729000161 ID Part B Supplier - Clinic/Group Practice 2163648155 Receives reassigned benefits from 60 practitioners
Practice locations: Boise, ID; Meridian, ID; Nampa, ID
O20170803000099 ID DME Supplier - Physician - General Practice 2163648155 Practice locations: Boise, ID

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

10178 W Fairview Ave
Ste 101
Boise, ID 83704

1789 S Broadway Ave
Boise, ID 83706
Phone (208) 321-4000

4842 N Cortona Way
Ste 100
Meridian, ID 83646
Phone (208) 888-8302

2550 Addison Ave E
Ste F
Twin Falls, ID 83301
Phone (208) 814-7700

6265 Sheridan Dr
Ste 122
Williamsville, NY 14221
Phone (716) 204-5552

Practitioners & affiliated clinicians

Practitioners 63

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.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1356769434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E MAGIC VIEW DR STE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423750",
            "telephone_number": "208-321-4000",
            "fax_number": "208-855-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10178 W FAIRVIEW AVE STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048117",
            "telephone_number": "208-321-4000",
            "fax_number": "208-855-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT ORTHOPEDIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "THIRY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-321-4000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "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 Jul 21, 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.