Active NPI
David B Talford, PAC
- Physician Assistant
- Boise, ID
National Provider Identifier
1396788303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-262
- Practice address
- 100 E Warm Springs Ave
Suite a
Boise, ID 83712-6243 - Phone
- (208) 343-5910
- Fax
- (208) 384-8562
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-262 | ID | Primary |
| Surgical Physician Assistant | 363AS0400X | PA-262 | ID | |
| Medical Physician Assistant | 363AM0700X | PA-262 | ID |
Addresses
Primary practice location
100 E Warm Springs Ave
Suite a
Boise, ID 83712-6243
Mailing address
100 E Warm Springs Ave
Suite a
Boise, ID 83712-6243
Phone (208) 343-5910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805455600 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 E Warm Springs Ave
Suite a
Boise, ID 83712-6243
100 E Warm Springs Ave
Suite a
Boise, ID 83712-6244
Phone (208) 343-5910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-262 | ID | MD | Medical Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Boise, ID
- NPI 1710166004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1396788303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E WARM SPRINGS AVE",
"address_2": "SUITE A",
"city": "BOISE",
"state": "ID",
"postal_code": "837126243",
"telephone_number": "208-343-5910",
"fax_number": "208-384-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E WARM SPRINGS AVE",
"address_2": "SUITE A",
"city": "BOISE",
"state": "ID",
"postal_code": "837126243",
"telephone_number": "208-343-5910",
"fax_number": "208-384-8562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALFORD",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-262",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "ID",
"license": "PA-262",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-262",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805455600",
"state": "ID"
}
],
"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 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.