Nathaniel A Bork, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5101 Issued in ID

Practice address

2301 N 36TH St Ste 102
Boise, ID 83703-5202

Phone

(208) 336-8801

Fax

(208) 466-5359

NPI assigned

Sep 13, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nbork337633@direct.ochin.org
• Direct secure messaging: nathaniel.bork.p1@direct.nachci.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Meridian, ID
  • NPI 1073001699

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Nampa, ID
  • NPI 1265979629

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Marsing, ID
  • NPI 1376058677

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Homedale, ID
  • NPI 1487668240

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Melba, ID
  • NPI 1518173962

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Middleton, ID
  • NPI 1740566975

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Nampa, ID
  • NPI 1881602639

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1891143491

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1902810633

  General Practice

  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1972885200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-467-4431",
            "fax_number": "208-466-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N 36TH ST STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035202",
            "telephone_number": "208-336-8801",
            "fax_number": "208-466-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORK",
        "first_name": "NATHANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008311",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Bores, RD
• Elizabeth Borger
• Wendy Lee Borgerd, P.T.
• Michelle Borgquist, LMSW
• Joanna Bork
• Alex Peter Bormann, M.D.
• Ian Borovatz, PHARM.D.
• Marlys Ann Borreson, L.C.P.C.
• Alicia R Borst, P.A.C.
• Lindie K Borton, M.D

• 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 Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.