Idaho Endodontics PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

66D1481EN Issued in ID

Legal business name

IDAHO ENDODONTICS PA

Doing business as

Herbert R Blaser DDS PA

Practice address

2014 N Cole Rd
Boise, ID 83704

Phone

(208) 376-9280

Fax

(208) 376-9280

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By 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

Dr. Herbert R Blaser, DDSNPI 1437455961

Title

Pres

Phone

(208) 376-9280

Specialties & licenses 1

Addresses

Other names 1

• Herbert R Blaser DDS PA Doing business as

Locations

Practitioners 1

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.

• Herbert Ray Blaser, DDS

  • Endodontics
  • Boise, ID
  • NPI 1437455961
  Authorized official Same address or phone

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417096678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-376-9280",
            "fax_number": "208-376-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-376-9280",
            "fax_number": "208-376-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO ENDODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLASER",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "208-376-9280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "ID",
            "license": "66D1481EN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herbert R Blaser DDS PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Idaho Division of Behavioral Health
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• Idaho Endocrinology, PLLC
• Idaho Endodontics
• Idaho Endoscopy Center LLC
• Idaho Eye Pros of Boise
• Idaho Eyecare Center
• Idaho Eyelid & Facial Plastic Surgery , PLLC
• Idaho Face & Voice, LLC

• Endodontics in Boise, ID
• Providers in Boise, ID by specialty
• Endodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.