Active NPI
Sinus Center - Idaho, PA
- Legal Medicine
- Boise, ID
National Provider Identifier
1760487771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8069720000 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
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.