Organization Active NPI

Sinus Center - Idaho, PA

  • Legal Medicine
  • Boise, ID
National Provider Identifier
1760487771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
SINUS CENTER - IDAHO, PA
Practice address
727 E Riverpark LN
Ste 200
Boise, ID 83706-4097
Phone
(208) 433-9300
Fax
(208) 433-9854
NPI assigned
Jun 16, 2005
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
John Boyajian, MD
Title
President
Phone
(208) 433-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

727 E Riverpark LN
Ste 200
Boise, ID 83706-4097

Mailing address

727 E Riverpark LN
Ste 200
Boise, ID 83706-4097
Phone (208) 433-9300

Other identifiers 1

IdentifierTypeStateIssuer
8069720000MedicaidID

National Provider Directory

National Provider Directory

Locations

727 E Riverpark Ln
Ste 200
Boise, ID 83706
Phone (208) 433-8846

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760487771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E RIVERPARK LN",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064097",
            "telephone_number": "208-433-9300",
            "fax_number": "208-433-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E RIVERPARK LN",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064097",
            "telephone_number": "208-433-9300",
            "fax_number": "208-433-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINUS CENTER - IDAHO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYAJIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-433-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8069720000",
            "state": "ID"
        }
    ],
    "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.