NPIMap

Sanders Dental PLLC

Organization Active NPI General Practice Dentistry · Boise, ID

NPI 1386586568 · NPPES record last updated Apr 28, 2026

Key facts

NPI
1386586568
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
SANDERS DENTAL PLLC
Practice address
10200 W Emerald St Ste 105
Boise, ID 83704-8900
Phone
(208) 376-7954
NPI assigned
Apr 7, 2026
Organization subpart
No

Authorized official

Name
Dr. Casey Dale Sanders, DMD NPI 1700455870
Title
Owner/Dentist
Phone
(208) 376-7954

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

10200 W Emerald St Ste 105
Boise, ID 83704-8900

Mailing address

10200 W Emerald St Ste 105
Boise, ID 83704-8900
Phone (208) 376-7954

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 28, 2026.

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1386586568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W EMERALD ST STE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048900",
            "telephone_number": "208-376-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W EMERALD ST STE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048900",
            "telephone_number": "208-376-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-376-7954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

All providers in Boise, ID · General Practice Dentistry in Idaho

Sources for this page

Verify at the official NPI Registry.