NPIMap

Organization Active NPI

Jake Dabell Dental Boise PLLC

  • Dental Clinic/Center
  • Boise, ID
National Provider Identifier
1932832789
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAKE DABELL DENTAL BOISE PLLC
Practice address
9502 W Fairview Ave
Boise, ID 83704-8103
Phone
(208) 377-2223
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Lindsey Skaar
Title
Insurance Coordinator
Phone
(208) 571-2602

Specialties & licenses 1

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

Addresses

Primary practice location

9502 W Fairview Ave
Boise, ID 83704-8103

Mailing address

9502 W Fairview Ave
Boise, ID 83704-8103
Phone (208) 377-2223

Other names 1

  • West Valley Natural Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jake Dabell Dental Boise PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1932832789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048103",
            "telephone_number": "208-377-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048103",
            "telephone_number": "208-377-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKE DABELL DENTAL BOISE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "SKAAR",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "208-571-2602"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Natural Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Valley Natural Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 2022; 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.