Active NPI
Trevor E Tafoya, D.M.D.
- General Practice Dentistry
- Boise, ID
National Provider Identifier
1790126845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-4504
- Practice address
- 7421 W Victory Rd Ste 100
Boise, ID 83709-5106 - Phone
- (208) 402-1040
- Fax
- (866) 324-2220
- NPI assigned
- Jul 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-4504 | ID | Primary |
Addresses
Primary practice location
7421 W Victory Rd Ste 100
Boise, ID 83709-5106
Mailing address
2598 E la Grange Dr
Meridian, ID 83642-4773
Phone (208) 447-7555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-4504 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David L. Ripplinger, DDS, PC | General Practice | Past | Accepting new patients |
| Trevor Tafoya DDS Victory Dental, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Boise, ID
- NPI 1124684584
-
- General Practice Dentistry
- Boise, ID
- NPI 1174917330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1790126845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2598 E LA GRANGE DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836424773",
"telephone_number": "208-447-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7421 W VICTORY RD STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837095106",
"telephone_number": "208-402-1040",
"fax_number": "866-324-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFOYA",
"first_name": "TREVOR",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-17",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-4504",
"primary": true
}
],
"identifiers": [],
"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 May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.