Joseph Gordon Daines, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M3286 Issued in ID

Practice address

766 W Colchester Dr
Eagle, ID 83616-5888

Phone

(208) 401-4790

NPI assigned

May 9, 2006

Last updated

Oct 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Orthopedic Centers of Idaho P a

  dba Boise Orthopedic Clinic

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1487746541
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1558310318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 W COLCHESTER DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165888",
            "telephone_number": "208-401-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 W COLCHESTER DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165888",
            "telephone_number": "208-401-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAINES",
        "first_name": "JOSEPH",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M3286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003653900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00185340",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010003325",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "32862",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Customedica Pharmacy Inc (Customedica Compounding Center)
• Customedica Pharmacy Inc
• Rebekah Dianne Cutler, PA
• CWCD, P.C. (Cottonwood Creek Dental)
• Alexas Dahl
• Dan Streeby, D.D.S.
• Cameron Daron
• Natasha Davey
• Edward D Davila, MD
• Greg Ron Davis, D.D.S

• Orthopaedic Surgery Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.