Individual provider Active NPI

Christopher Todd Minert, D.D.S.

  • Dentist
  • Boise, ID
National Provider Identifier
1932469707
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4809 Issued in ID
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

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4809IDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Boise Dentistry Co. PastSince Jan 15, 2023 Accepting new patients
F. Alan Walker, DMD, PC Dentist Past Accepting new patients
Steven Gigli DDS, PLLC PastSince Jun 29, 2025 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.

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.

Verify at the official NPI Registry.