Organization Active NPI

Martin T. Sachse, D.M.D., P.C.

  • General Practice Dentistry
  • Boise, ID
National Provider Identifier
1760577332
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
ID03580 Issued in ID
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

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
Martin T Sachse, D.M.D.NPI 1790870293
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ID03580OtherIDST OF ID PROVIDER ID #

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.