Doral Academy Idaho

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DORAL ACADEMY IDAHO

Practice address

2511 W Cherry LN
Meridian, ID 83642-1135

Phone

(208) 901-8281

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Trevor Goodsell

Title

Cfo

Phone

(702) 431-6260

Specialties & licenses 1

Addresses

Other names 1

• Academica Nevada Doing business as

Locations

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1992312565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 SURREY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193928",
            "telephone_number": "702-431-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421135",
            "telephone_number": "208-901-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL ACADEMY IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "GOODSELL",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-431-6260"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academica Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Donaldson
• Julie Donnelly, PT
• Natalie Donohoo, NBC-HWC
• Kolton William Donovan, DC
• Nicole Christine Dooley
• Dot Physicals Boise
• Brian Dotter
• Clint Doty
• Krista Doubleday, LPC
• Janina L Dowdy, LCSW

• Local Education Agency (LEA) in Meridian, ID
• Providers in Meridian, ID by specialty
• Local Education Agency (LEA) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.