NPIMap

Organization Active NPI

Boise West Dental Health LLP

  • General Practice Dentistry
  • Boise, ID
National Provider Identifier
1669480711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1566 Issued in ID
Legal business name
BOISE WEST DENTAL HEALTH LLP
Practice address
9460 W Franklin Rd
Boise, ID 83709-0500
Phone
(208) 377-0410
Fax
(208) 377-0444
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fred Brion Lowry, DDSNPI 1932325321
Title
Dentist
Phone
(208) 377-0410

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D1566 ID Primary

Addresses

Primary practice location

9460 W Franklin Rd
Boise, ID 83709-0500

Mailing address

9460 W Franklin Rd
Boise, ID 83709-0500
Phone (208) 377-0410

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669480711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090500",
            "telephone_number": "208-377-0410",
            "fax_number": "208-377-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090500",
            "telephone_number": "208-377-0410",
            "fax_number": "208-377-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE WEST DENTAL HEALTH LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "BRION",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-377-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1566",
            "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 Aug 22, 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.