Individual provider Active NPI

Travis Tingey, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boise, ID
National Provider Identifier
1740620418
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D-4629-OR Issued in ID
Practice address
2020 N Cole Rd
Boise, ID 83704-7309
Phone
(208) 375-0631
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6424 OK
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D-4629-OR ID Primary

Addresses

Primary practice location

2020 N Cole Rd
Boise, ID 83704-7309

Mailing address

2020 N Cole Rd
Boise, ID 83704-7309
Phone (208) 375-0631

Other practice location 1

37 W Archerfield St # 150
Meridian, ID 83646-6587
Phone (208) 375-0631

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL doctor@idahoortho.com Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6424OKMDDentist
D-4629-ORIDMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tingey Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Mar 1, 2020 Accepting new patients

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1740620418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047309",
            "telephone_number": "208-375-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047309",
            "telephone_number": "208-375-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 W Archerfield St # 150",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836466587",
            "country_code": "US",
            "telephone_number": "208-375-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINGEY",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6424",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D-4629-OR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "doctor@idahoortho.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2020 N Cole Rd",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837047309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 16, 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.

Verify at the official NPI Registry.