Organization Active NPI

Ada Orthopaedic Clinic

  • Specialist
  • Boise, ID
National Provider Identifier
1386806347
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADA ORTHOPAEDIC CLINIC
Practice address
6500 W Emerald St
Boise, ID 83704-8736
Phone
(208) 377-0777
Fax
(208) 377-1070
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Joyce L Cooper
Title
Office Manager
Phone
(208) 377-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

6500 W Emerald St
Boise, ID 83704-8736

Mailing address

6500 W Emerald St
Boise, ID 83704-8736
Phone (208) 377-0777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1386806347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048736",
            "telephone_number": "208-377-0777",
            "fax_number": "208-377-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048736",
            "telephone_number": "208-377-0777",
            "fax_number": "208-377-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA ORTHOPAEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-377-0777"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "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 Jun 30, 2008; 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.