Boyle Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D4640 Issued in ID

Legal business name

BOYLE FAMILY DENTAL

Practice address

1370 E 17TH St
Idaho Falls, ID 83404-6270

Phone

(208) 523-3388

NPI assigned

Aug 21, 2015

Last updated

Aug 21, 2015By 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

Steven Boyle, DDS

Title

Owner

Phone

(208) 523-3388

Specialties & licenses 1

Addresses

Locations

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.

• Taylor J Jardine, D.D.S.

  • General Practice Dentistry
  • Rexburg, ID
  • NPI 1508093212
  NPD (past)

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1659748903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046270",
            "telephone_number": "208-523-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYLE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-523-3388",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D4640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Bowman, PMHNP-C
• Nancy Boyce
• Boyd K Southwick
• Boyd L Hammond MD PA
• Adrienne Boyd, LMSW
• Erin Boyle
• Heidi Maxine Boyle, MOTR/L
• Nate Boyle, RN, MSN, FNP-BC
• Korri Jo Braase
• Brad D Smith, DO, PA

• Dental Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.