Individual provider Active NPI

Devin J Stampfli, DDS

  • Dentist
  • Boise, ID
National Provider Identifier
1821165986
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D3328 Issued in ID
Practice address
150 E Boise Ave
Boise, ID 83706-4302
Phone
(208) 385-7500
Fax
(208) 385-7625
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D3328 ID Primary

Addresses

Primary practice location

150 E Boise Ave
Boise, ID 83706-4302

Mailing address

150 E Boise Ave
Boise, ID 83706-4302
Phone (208) 385-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160202002774 ID Order and Referring Only - DentistPractitioner - Dentist 9739483397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D3328IDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821165986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E BOISE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064302",
            "telephone_number": "208-385-7500",
            "fax_number": "208-385-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E BOISE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064302",
            "telephone_number": "208-385-7500",
            "fax_number": "208-385-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPFLI",
        "first_name": "DEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.