NPIMap

Organization Active NPI

Blue Heron Dental

  • Dental Clinic/Center
  • Boise, ID
National Provider Identifier
1659977619
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BLUE HERON DENTAL
Practice address
345 W Bobwhite CT
Boise, ID 83706-3982
Phone
(208) 345-1383
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Dr. Chad Dallas Hess, DDSNPI 1316006893
Title
Owner
Phone
(208) 870-3838

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

345 W Bobwhite CT
Boise, ID 83706-3982

Mailing address

345 W Bobwhite CT
Boise, ID 83706-3982
Phone (208) 345-1383

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1659977619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W BOBWHITE CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063982",
            "telephone_number": "208-345-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W BOBWHITE CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063982",
            "telephone_number": "208-345-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HERON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "DALLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-870-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 7, 2020; 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.