Active NPI
Alexandra Rochelle Hyder, DDS
- Dentist
- Boise, ID
National Provider Identifier
1730665241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D-4953
- Practice address
- 6657 N Glenwood St
Boise, ID 83714-1925 - Phone
- (208) 375-0572
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-4953 | ID | Primary |
Addresses
Primary practice location
6657 N Glenwood St
Boise, ID 83714-1925
Mailing address
7379 Newbrook Dr
Nampa, ID 83687-8353
Phone (610) 451-5297
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-4953 | ID | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1730665241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7379 NEWBROOK DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836878353",
"telephone_number": "610-451-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6657 N GLENWOOD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837141925",
"telephone_number": "208-375-0572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDER",
"first_name": "ALEXANDRA",
"middle_name": "ROCHELLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-4953",
"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 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.