Individual provider Active NPI

Heidi Marie Van Giffen, L.D.

  • Denturist
  • Boise, ID
National Provider Identifier
1700099694
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
LD-106 Issued in ID
Practice address
6051 N Eagle Rd
Boise, ID 83713-0997
Phone
(208) 336-8873
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DT-DO-10112253 OR
Denturist 122400000X LD-106 ID Primary

Addresses

Primary practice location

6051 N Eagle Rd
Boise, ID 83713-0997

Mailing address

6051 N Eagle Rd
Boise, ID 83713-0997
Phone (208) 336-8873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LD-106IDMDDenturist
DT-DO-10112253ORMDDenturist

Practice roles

OrganizationSpecialtyStatusNew patients
1St Class Dentures, LLC Denturist Current Accepting new patients

Locations

6051 N Eagle Rd
Boise, ID 83713
Phone (208) 519-4333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1700099694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130997",
            "telephone_number": "208-336-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130997",
            "telephone_number": "208-336-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GIFFEN",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO-10112253",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "ID",
            "license": "LD-106",
            "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 Apr 21, 2025; 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.