Northview Dental Partnership LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHVIEW DENTAL PARTNERSHIP LLC

Practice address

7480 W Northview St
Boise, ID 83704-7232

Phone

(208) 375-0607

Fax

(208) 375-8208

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Karla Louise Picciotti

Title

Office Manager

Phone

(208) 342-4644

Specialties & licenses 1

Addresses

Other names 1

• Parkway Dental at Northview Doing business as

Locations

Practitioners 1

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

• Tyson N. Gray, DMD

  • General Practice Dentistry
  • Boise, ID
  • NPI 1659457885
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972023398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 NORTHVIEW ST.",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-375-0607",
            "fax_number": "208-375-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 W NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047232",
            "telephone_number": "208-375-0607",
            "fax_number": "208-375-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVIEW DENTAL PARTNERSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PICCIOTTI",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-342-4644"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Dental at Northview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.