Troy a. Clovis DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3039 Issued in ID

Legal business name

TROY A. CLOVIS DMD

Doing business as

Benchmark Family Dentistry

Practice address

4552 N Cloverdale Rd
Boise, ID 83713-2417

Phone

(208) 376-2726

Fax

(208) 376-6401

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By 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

Ms. Suzanne B Mooney

Title

Bookkeeper

Phone

(208) 376-2726

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• BENCHMARK FAMILY DENTISTRY Doing business as

Locations

Practitioners 2

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.

• Troy A Clovis, DMD

  • Dentist
  • Boise, ID
  • NPI 1467524488
  NPD (past)
• Sarah S. Hunt, D.M.D.

  • General Practice Dentistry
  • Boise, ID
  • NPI 1215009238
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1407015613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4552 N CLOVERDALE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132417",
            "telephone_number": "208-376-2726",
            "fax_number": "208-376-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4552 N CLOVERDALE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132417",
            "telephone_number": "208-376-2726",
            "fax_number": "208-376-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY A. CLOVIS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "208-376-2726",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "62644",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "6100-2",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66D3039",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENCHMARK FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francois D Trotta, MD, PA
• Ann Decker Trotter, PHD
• Betty R Trounson, RDLD
• Trenton Troxell, PHARMD
• Josette Claire Troxler, RPT
• Lauren Troy, OTR/L
• Martine Nicole Troy, MD
• Shannon Troy
• Brett Troyer, MD
• Karrington Troyer, PT, DPT

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.