Organization Active NPI

High Definition Dental LLC

  • Dental Clinic/Center
  • Boise, ID
National Provider Identifier
1972418788
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HIGH DEFINITION DENTAL LLC
Practice address
5993 W State St Ste B
Boise, ID 83703-5058
Phone
(208) 939-1700
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Dr. Travis Weimer, DDS
Title
Co-Owner
Phone
(541) 805-0389

Specialties & licenses 1

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

Addresses

Primary practice location

5993 W State St Ste B
Boise, ID 83703-5058

Mailing address

5993 W State St Ste B
Boise, ID 83703-5058
Phone (208) 939-1700

Other names 1

  • State Street Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1972418788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5993 W STATE ST STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035058",
            "telephone_number": "208-939-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5993 W STATE ST STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035058",
            "telephone_number": "208-939-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DEFINITION DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "541-805-0389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Street Dental",
            "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 17, 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.

Verify at the official NPI Registry.