Active NPI
Jon R Hunt, DDS
- Dentist
- Boise, ID
National Provider Identifier
1801128830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D1557
- Practice address
- 1122 N Liberty St
Boise, ID 83704-8741 - Phone
- (208) 947-6821
- NPI assigned
- Feb 1, 2010
- Last updated
- Feb 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D1557 | ID | Primary |
| General Practice Dentistry | 1223G0001X | D1557 | ID |
Addresses
Primary practice location
1122 N Liberty St
Boise, ID 83704-8741
Mailing address
1122 N Liberty St
Boise, ID 83704-8741
Phone (208) 947-6821
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 |
|---|---|---|---|
| D1557 | ID | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1801128830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 N LIBERTY ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048741",
"telephone_number": "208-947-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 N LIBERTY ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048741",
"telephone_number": "208-947-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "JON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D1557",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D1557",
"primary": false
}
],
"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 Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.