Organization Active NPI

BBC Silverstone LLC

  • Diagnostic Radiology Physician
  • Meridian, ID
National Provider Identifier
1528845294
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BBC SILVERSTONE LLC
Practice address
1144 S Silverstone Way Ste 160
Meridian, ID 83642-8854
Phone
(248) 515-9101
Fax
(208) 464-9734
NPI assigned
Sep 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Barbara Ann White, MDNPI 1821282492
Title
MD/Partner
Phone
(208) 214-4466

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1144 S Silverstone Way Ste 160
Meridian, ID 83642-8854

Mailing address

PO Box 4886
Boise, ID 83711-4886

Other names 1

  • Lyra Total Breast Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240131000120 ID Part B Supplier - Clinic/Group Practice 2668825241 Receives reassigned benefits from 2 practitioners
Practice locations: Meridian, ID
O20250612003133 MI Part B Supplier - Clinic/Group Practice 2668825241 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

1144 S Silverstone Way
Ste 130
Meridian, ID 83642

1144 S Silverstone Way
Ste 160
Meridian, ID 83642
Phone (208) 214-4466

1144 S Silverstone Way
Meridian, ID 83642

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1528845294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4886",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837114886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 S SILVERSTONE WAY STE 160",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428854",
            "telephone_number": "248-515-9101",
            "fax_number": "208-464-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBC SILVERSTONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "208-214-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyra Total Breast Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 28, 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.