West Valley Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

WEST VALLEY ENDODONTICS

Practice address

3308 N Milwaukee St
Boise, ID 83704-4447

Phone

(208) 323-1990

Fax

(208) 323-1990

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Michelle Hymas

Title

Office Administrator

Phone

(208) 841-7810

Specialties & licenses 1

Addresses

Tax ID family

West Valley Endodontics2 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.

• West Valley Endodontics

  • Endodontics
  • Nampa, ID
  • NPI 1366193468
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael John Bingham, D.D.S.

  • Endodontics
  • Boise, ID
  • NPI 1124139134
  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1952055840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 N MILWAUKEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 N MILWAUKEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044447",
            "telephone_number": "208-323-1990",
            "fax_number": "208-323-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "HYMAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "208-841-7810"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R Weron
• Jennifer Lee Wersland, PSYD
• Kelsey Janel Wertzler, MD
• Camden Wesselman
• West Boise Wellness Center
• West Wind Mental Health
• Hailey West, LCSW
• Jayna Shaye West
• Malyssa Rose West, PHARMD
• Mark James West, BC-HIS

• Endodontics in Boise, ID
• Providers in Boise, ID by specialty
• Endodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.