Active NPI
Martin T. Sachse, D.M.D., P.C.
- General Practice Dentistry
- Boise, ID
National Provider Identifier
1760577332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- ID03580
- Legal business name
- MARTIN T. SACHSE, D.M.D., P.C.
- Practice address
- 2720 Overland Road
Boise, ID 83705 - Phone
- (208) 345-9096
- Fax
- (208) 345-8214
- NPI assigned
- Oct 3, 2006
- 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
- Martin T Sachse, D.M.D.
- Title
- Dentist
- Phone
- (208) 345-9096
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | ID03580 | ID | Primary |
Addresses
Primary practice location
2720 Overland Road
Boise, ID 83705
Mailing address
2720 Overland Road
Boise, ID 83705
Phone (208) 345-9096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ID03580 | Other | ID | ST OF ID PROVIDER ID # |
National Provider Directory
National Provider DirectoryLocations
2720 W Overland Rd
Boise, ID 83705
Phone (208) 345-5875
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Boise, ID
- NPI 1790870293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760577332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 OVERLAND ROAD",
"city": "BOISE",
"state": "ID",
"postal_code": "83705",
"telephone_number": "208-345-9096",
"fax_number": "208-345-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 OVERLAND ROAD",
"city": "BOISE",
"state": "ID",
"postal_code": "83705",
"telephone_number": "208-345-9096",
"fax_number": "208-345-8214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN T. SACHSE, D.M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SACHSE",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "208-345-9096",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "ID03580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST OF ID PROVIDER ID #",
"identifier": "ID03580",
"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.