Andrea Dawn Haney, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D4661 Issued in ID

Practice address

7235 W Emerald St Ste B
Boise, ID 83704-8600

Phone

(208) 327-0337

Fax

(208) 376-0468

NPI assigned

Jun 17, 2015

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boise Bench Dentistry

  • Dentist
  • Boise, ID
  • NPI 1770770026
  NPD
• Castlebury Dental PC

  • General Practice Dentistry
  • Eagle, ID
  • NPI 1881835353
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1649651464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 W EMERALD STREET",
            "address_2": "SUITE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-327-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 W EMERALD ST STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048600",
            "telephone_number": "208-327-0337",
            "fax_number": "208-376-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "ANDREA",
        "middle_name": "DAWN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Hancock
• Hand in Hand LLC (Hand In Hand Behavioral Health)
• Dezirae Handeland, LMSW
• Christopher Douglas Handlin
• Hands-on Physical Therapy PLLC
• Emily Haney
• Hanger Prosthetics & Orthotics, Inc (Hanger Clinic)
• Julie J Hanksjones, R.D.,L.D.
• Lauren Teresa Hanlon, DO
• Nathan R Hannay, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.