Organization Active NPI

Horizon Dental North End LLC

  • Dental Clinic/Center
  • Boise, ID
National Provider Identifier
1902272669
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D4410OS Issued in ID
Legal business name
HORIZON DENTAL NORTH END LLC
Practice address
3810 N Garden Center Way
Boise, ID 83703-5007
Phone
(208) 853-5111
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Cole W Anderson, DMD, MS
Title
Ceo
Phone
(208) 343-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D4410OS ID Primary

Addresses

Primary practice location

3810 N Garden Center Way
Boise, ID 83703-5007

Mailing address

3810 N Garden Center Way
Boise, ID 83703-5007
Phone (208) 853-5111

National Provider Directory

National Provider Directory

Locations

3810 N Garden Center Way
Boise, ID 83703
Phone (208) 853-5111

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1902272669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 N GARDEN CENTER WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035007",
            "telephone_number": "208-853-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 N GARDEN CENTER WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035007",
            "telephone_number": "208-853-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON DENTAL NORTH END LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-343-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D4410OS",
            "primary": true
        }
    ],
    "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 Aug 18, 2015; 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.