Organization Active NPI

Sanders Dental PLLC

  • General Practice Dentistry
  • Boise, ID
National Provider Identifier
1386586568
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 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
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

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

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.