NPIMap

Organization Active NPI

Stephen Schenk, D.D.S., P.C.

Doing business as Boise Periodontics and Implants

  • Periodontics
  • Boise, ID
National Provider Identifier
1447481726
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D-4242-PE Issued in ID
Legal business name
STEPHEN SCHENK, D.D.S., P.C.
Doing business as
Boise Periodontics and Implants
Practice address
1228 N Cole Rd
Boise, ID 83704-8646
Phone
(208) 375-9480
NPI assigned
Aug 4, 2009
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Stephen Schenk, D.D.S., M.S.NPI 1871765974
Title
Owner
Phone
(208) 375-9480

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X D-4242-PE ID Primary

Addresses

Primary practice location

1228 N Cole Rd
Boise, ID 83704-8646

Mailing address

1228 N Cole Rd
Boise, ID 83704-8646

Other names 1

  • Boise Periodontics and Implants Doing business as

National Provider Directory

National Provider Directory

Locations

1228 N Cole Rd
Boise, ID 83704
Phone (208) 375-9480

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1447481726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048646",
            "telephone_number": "208-375-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN SCHENK, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "SCHENK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-375-9480",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "ID",
            "license": "D-4242-PE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise Periodontics and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 4, 2009; 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.