Hidden Springs Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1992 Issued in ID

Legal business name

HIDDEN SPRINGS DENTAL PLLC

Practice address

5833 W Hidden Springs Dr
Boise, ID 83714-9453

Phone

(208) 229-4900

Fax

(208) 229-4902

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jayne Blazek

Title

Office Manager

Phone

(208) 228-4900

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Blake Bybee, D.D.S

  • Dentist
  • Boise, ID
  • NPI 1215360292
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1760661482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 W HIDDEN SPRINGS DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837149453",
            "telephone_number": "208-229-4900",
            "fax_number": "208-229-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 W HIDDEN SPRINGS DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837149453",
            "telephone_number": "208-229-4900",
            "fax_number": "208-229-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN SPRINGS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "BLAZEK",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-228-4900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1992",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Marie Hicks, LCSW, CADC III
• Angela Kay Hidalgo
• Hidden Creek Dental
• Hidden Creek Dental, PLLC
• Hidden Springs Dental
• Hidden Springs Eye Care LLC
• Janette Michelle Hiebert, LMSW
• Cheryl Higer, D.M.D.
• Ralph Higer, MD
• Ronald Scott Higginbotham, D.O.

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.