Frandsen Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D-4223 Issued in ID

Legal business name

FRANDSEN DENTAL

Doing business as

Idaho Street Dental

Practice address

305 W Idaho St
Boise, ID 83702-6040

Phone

(208) 343-7271

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Justin Greg Frandsen, DDS

Title

Owner

Phone

(208) 821-0781

Specialties & licenses 2

Addresses

Other names 1

• Idaho Street Dental Doing business as

Locations

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1962992552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W IDAHO ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026040",
            "telephone_number": "208-343-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W IDAHO ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026040",
            "telephone_number": "208-343-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANDSEN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "FRANDSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-821-0781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-4223",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-4838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Foy, FNP-C
• Lindsey M Foy, MD
• Loren Joel Francis, DDS
• Mary Deborah Francis, LCSW, MSW
• Francois D Trotta MD PA
• Barbara Franek, RN
• J. Francine Frank, LMSW
• Leo Frank, PHAMD
• Franklin Community Properties, LLC
• Franklin Counseling and Wellness Services

• Dental Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.