James Rock

Primary specialty

Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X

License

D-5186-RD Issued in ID

Practice address

11092 W Petunia Dr
Boise, ID 83709-7098

Phone

(208) 891-0725

NPI assigned

Mar 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• True View Dental Radiology, PLLC

  • Oral and Maxillofacial Radiology Dentistry
  • Boise, ID
  • NPI 1437738010
  NPD

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1831774611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11092 W PETUNIA DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837097098",
            "telephone_number": "208-891-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "ID",
            "license": "D-5186-RD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Elizabeth Robles, RMA
• Veronica Renee Roby, LMT
• Kirsten Roche, LMSW, BS, CPSS
• Mykel Gaylene Rochester, BA PSYCHOLOGY
• Rock Bottom Recovery and Treatment Services PLLC
• Stephanie Therese Rock, PT
• Mark Wade Rockwell, MD
• Kelsey Marie Rode
• Bret J Rodgers
• Katherine Rodgers, M.S., L.P.C.

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.