Active NPI
Scott Freeman, DMD, PA
- Pediatric Dentistry
- Boise, ID
National Provider Identifier
1962456632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D1479
- Practice address
- 6363 Emerald
Boise, ID 83904 - Phone
- (208) 377-2150
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D1479 | ID | Primary |
Addresses
Primary practice location
6363 Emerald
Boise, ID 83904
Mailing address
6363 Emerald
Boise, ID 83904
Phone (208) 377-2150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1479 | Other | ID | STATE LICENSE # |
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1479 | ID | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1962456632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 EMERALD",
"city": "BOISE",
"state": "ID",
"postal_code": "83904",
"telephone_number": "208-377-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 EMERALD",
"city": "BOISE",
"state": "ID",
"postal_code": "83904",
"telephone_number": "208-377-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "SCOTT",
"credential": "DMD, PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "ID",
"license": "D1479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "D1479",
"state": "ID"
}
],
"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 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.