Treasure Valley Podiatry, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

TREASURE VALLEY PODIATRY, INC

Practice address

900 N Liberty St
Suite 306
Boise, ID 83704-8704

Phone

(208) 367-7887

Fax

(208) 367-7888

NPI assigned

Oct 18, 2006

Last updated

Aug 10, 2023By 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

Mrs. Dana S Owen, DPMNPI 1972595676

Title

Owner/Doctor

Phone

(208) 367-7887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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.

• Ryan Tyler Johnson, DPM

  • Podiatrist
  • Boise, ID
  • NPI 1265059042
  Medicare reassignment NPD
• Dana Satomi Owen, D.P.M.

  • Podiatrist
  • Boise, ID
  • NPI 1972595676
  Authorized official Same address or phone

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1487735254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N LIBERTY ST",
            "address_2": "SUITE 306",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048704",
            "telephone_number": "208-367-7887",
            "fax_number": "208-367-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N LIBERTY ST",
            "address_2": "SUITE 306",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048704",
            "telephone_number": "208-367-7887",
            "fax_number": "208-367-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY PODIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "208-367-7887",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Valley Neuropathy Relief Center PC
• Treasure Valley Occupational Medicine
• Treasure Valley Oral and Facial Surgery PLLC
• Treasure Valley Pediatric Dentistry
• Treasure Valley Periodontics
• Treasure Valley Rossiter, LLC
• Treasure Valley Senior Living, Inc. (Heritage Assisted Living of Boise)
• Treasure Valley Speech and Language, LLC
• Treasure Valley Spine & Sports Center, PLLC
• Treasure Valley Surgical Assistants

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.