Boise Pain Management

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

155194-00 Issued in CA

Legal business name

BOISE PAIN MANAGEMENT

Practice address

8950 W Emerald St Ste 150
Boise, ID 83704-8296

Phone

(208) 376-4571

Fax

(208) 376-4621

NPI assigned

Jun 21, 2012

Last updated

Jun 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Joseph Plyer

Title

Nctmb

Phone

(208) 376-4571

Specialties & licenses 1

Addresses

Other names 1

• none Other name

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1871856047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048296",
            "telephone_number": "208-376-4571",
            "fax_number": "208-376-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048296",
            "telephone_number": "208-376-4571",
            "fax_number": "208-376-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "PLYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "NCTMB",
        "authorized_official_telephone_number": "208-376-4571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "155194-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Boise of Cascadia, LLC (Cascadia of Boise)
• Boise Operations, LLC
• Boise Optimal Nutrition LLC
• Boise Oral and Maxillofacial Surgery
• Boise Orthodontics P.a.
• Boise Pathology Group P.a.
• Boise Physical Medicine and Rehabilitation Clinc
• Boise Plastic Surgery Boise Hand Center PLLC (Boise Hand Center)
• Boise Podiatry Clinic, P. a. (Podiatry Center of Idaho)
• Boise Premier Dentistry

• Massage Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.