Boise Spine & Orthopedic Bracing, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOISE SPINE & ORTHOPEDIC BRACING, LLC

Practice address

757 E Wythe Creek CT
102B
Kuna, ID 83634-5006

Phone

(208) 639-9329

Fax

(208) 881-0103

NPI assigned

Dec 7, 2016

Last updated

Jul 21, 2022By 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

Stephen Kyle Burtenshaw, DCNPI 1386652691

Title

Physician/Owner

Phone

(208) 870-5209

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Stephen Kyle Burtenshaw, D.C.

  • Chiropractor
  • Kuna, ID
  • NPI 1386652691
  NPD Authorized official

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386188548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 E WYTHE CREEK CT",
            "address_2": "102B",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345006",
            "telephone_number": "208-639-9329",
            "fax_number": "208-881-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E WYTHE CREEK CT",
            "address_2": "102B",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345006",
            "telephone_number": "208-639-9329",
            "fax_number": "208-881-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE SPINE & ORTHOPEDIC BRACING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURTENSHAW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "208-870-5209",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "7627500001",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bestlife Care, Inc (Swan Falls Assisted Living)
• Riley Grigg Beus, OD
• Trista Billingsley, PTA
• Paul E Blaisdell, DDS
• Boise Birth Village
• Taunya L. Bos, MS, CCC-SLP
• Andrew Boynton, DPT
• Dallas Brady
• Erika Brady, PA-C
• Jennifer Brazee, OTR/L

• Durable Medical Equipment & Medical Supplies in Kuna, ID
• Providers in Kuna, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.