Active NPI
Christopher Todd Minert, D.D.S.
- Dentist
- Boise, ID
National Provider Identifier
1932469707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4809
- Practice address
- 4776 N Five Mile Rd Ste 103
Boise, ID 83713-2715 - Phone
- (208) 906-1255
- NPI assigned
- May 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4809 | ID | Primary |
Addresses
Primary practice location
4776 N Five Mile Rd Ste 103
Boise, ID 83713-2715
Mailing address
4776 N Five Mile Rd Ste 103
Boise, ID 83713-2715
Phone (208) 906-1255
Other practice location 1
450 W Airbase Rd
Mountain Home, ID 83647-3483
Phone (208) 587-1111
Other practice location 2
10233 W Overland Rd
Boise, ID 83709-1430
Phone (208) 323-4700
Other practice location 3
1711 S 10th Ave
Caldwell, ID 83605-4839
Phone (208) 454-9217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4809 | ID | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Boise Dentistry Co. | Past | Accepting new patients | |
| F. Alan Walker, DMD, PC | Dentist | Past | Accepting new patients |
| Steven Gigli DDS, PLLC | Past | Accepting new patients | |
| Kirby Clendenon DDS | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Boise, ID
- NPI 1437318060
-
- General Practice Dentistry
- Caldwell, ID
- NPI 1407957897
-
- Dental Clinic/Center
- Boise, ID
- NPI 1407560725
-
- General Practice Dentistry
- Mountain Home, ID
- NPI 1982592598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1932469707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4776 N FIVE MILE RD STE 103",
"city": "BOISE",
"state": "ID",
"postal_code": "837132715",
"telephone_number": "208-906-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4776 N FIVE MILE RD STE 103",
"city": "BOISE",
"state": "ID",
"postal_code": "837132715",
"telephone_number": "208-906-1255"
}
],
"practiceLocations": [
{
"address_1": "450 W Airbase Rd",
"address_purpose": "LOCATION",
"city": "Mountain Home",
"state": "ID",
"postal_code": "836473483",
"country_code": "US",
"telephone_number": "208-587-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10233 W Overland Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837091430",
"country_code": "US",
"telephone_number": "208-323-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 S 10th Ave",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836054839",
"country_code": "US",
"telephone_number": "208-454-9217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINERT",
"first_name": "CHRISTOPHER",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-25",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "4809",
"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 Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.