NPIMap

Organization Active NPI

Capitol Dental, PC

  • Periodontics
  • Boise, ID
National Provider Identifier
1831101518
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
CAPITOL DENTAL, PC
Practice address
314 W Bannock St
Boise, ID 83702-6032
Phone
(208) 336-9333
Fax
(208) 387-1951
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Darrel L Mooney, D.D.S., F.A.C.P.NPI 1144232869
Title
Owner
Phone
(208) 336-9333

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X

Addresses

Primary practice location

314 W Bannock St
Boise, ID 83702-6032

Mailing address

314 W Bannock St
Boise, ID 83702-6032
Phone (208) 336-9333

Other names 1

  • Capitol Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

314 W Bannock St
Boise, ID 83702
Phone (208) 336-9333

Practitioners & affiliated clinicians

Practitioners 4

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1831101518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026032",
            "telephone_number": "208-336-9333",
            "fax_number": "208-387-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026032",
            "telephone_number": "208-336-9333",
            "fax_number": "208-387-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-336-9333",
        "authorized_official_credential": "D.D.S., F.A.C.P."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 11, 2025; 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.