Active NPI
David Kalani Mench, PA-C
- Physician Assistant
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-2052
- Practice address
- 3015 E Magic View Dr Ste 115
Meridian, ID 83642-3743 - Phone
- (208) 321-4000
- NPI assigned
- Aug 7, 2017
- Last updated
- Dec 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-2052 | ID | Primary |
Addresses
Primary practice location
3015 E Magic View Dr Ste 115
Meridian, ID 83642-3743
Mailing address
7529 W Middle Fork St
Boise, ID 83709-6090
Phone (808) 754-2010
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3015 E Magic View Dr
Suite 130
Meridian, ID 83642-3750
7979 W Rifleman St
Suite 110
Boise, ID 83704-9066
Phone (208) 321-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-2052 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Orthopedic Care LLC | Current | Accepting new patients |
Locations
7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000
7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000
3015 E Magic View Dr
Ste 115
Meridian, ID 83642
Phone (208) 321-4000
3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1356769434
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Special Hospital
- Boise, ID
- NPI 1720040132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1457876815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7529 W MIDDLE FORK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837096090",
"telephone_number": "808-754-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 E MAGIC VIEW DR STE 115",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423743",
"telephone_number": "208-321-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCH",
"first_name": "DAVID",
"middle_name": "KALANI",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-2052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.