Active NPI
Jonathan W Bauter DDS
- General Practice Dentistry
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D4357
- Legal business name
- JONATHAN W BAUTER DDS
- Practice address
- 210 W Mallard Dr
Suite E
Boise, ID 83706-6642 - Phone
- (208) 344-8363
- NPI assigned
- Oct 8, 2015
- Last updated
- Oct 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Bauter, DDS
- Title
- Owner
- Phone
- (208) 344-8363
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D4357 | ID | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
210 W Mallard Dr
Suite E
Boise, ID 83706-6642
Mailing address
210 W Mallard Dr
Suite E
Boise, ID 83706-6642
Phone (208) 344-8363
National Provider Directory
National Provider Directory- Tax ID family
- Jonathan W Bauter DDS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Boise, ID
- NPI 1427302843
Practitioners & affiliated clinicians
Practitioners 1
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": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1629449269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W MALLARD DR",
"address_2": "SUITE E",
"city": "BOISE",
"state": "ID",
"postal_code": "837066642",
"telephone_number": "208-344-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W MALLARD DR",
"address_2": "SUITE E",
"city": "BOISE",
"state": "ID",
"postal_code": "837066642",
"telephone_number": "208-344-8363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN W BAUTER DDS",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "BAUTER",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-344-8363",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D4357",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.