DR. ADAM J SHIPP (NPI# 1114077369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114077369 |
| Entity Type | Individual |
| Full Name | DR. ADAM J SHIPP |
| Credential | DMD, MS |
| Practice Address |
1555 S Timesquare Ln Boise ID 83709-8266 |
| Practice Telephone | 2086728860 |
| Practice Fax Number | 2086728767 |
| Mailing Telephone | 2086728860 |
| Mailing Fax Number | 2086728767 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D3834EN | ID | Dental Providers |
| Street Address |
1555 S TIMESQUARE LN |
| City | BOISE |
| State | ID |
| Zip Code | 83709-8266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932259173 | Brent L Chapman | Dentist | 1555 S Timesquare Ln, Boise, ID 83709-8266 | 2007-01-11 |
| 1710509823 | Idaho Endodontics | Dentist | 1555 S Timesquare Ln, Boise, ID 83709-8266 | 2020-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437455961 | Herbert Ray Blaser | Dentist | 2104 N. Cole Rd., Boise, ID 83704 | 2011-02-01 |
| 1396961157 | Larue Antoine Bluth | Dentist | 5244 N Eagle Rd, Boise, ID 83713-0945 | 2007-04-18 |
| 1417096678 | Idaho Endodontics Pa | Dentist | 2014 N Cole Rd, Boise, ID 83704 | 2007-02-05 |
| 1932259173 | Brent L Chapman | Dentist | 1555 S Timesquare Ln, Boise, ID 83709-8266 | 2007-01-11 |
| 1811077589 | Hilary I Dunstan | Dentist | 6363 W Emerald St Ste 102, Boise, ID 83704-8783 | 2006-10-17 |
| 1124139134 | Michael John Bingham | Dentist | 3308 N Milwaukee St, Boise, ID 83704-4447 | 2006-08-31 |
| 1710509823 | Idaho Endodontics | Dentist | 1555 S Timesquare Ln, Boise, ID 83709-8266 | 2020-05-12 |
| 1407483027 | Northwest Dental Group | Dentist | 8300 Northview St, Boise, ID 83704 | 2020-03-24 |
| 1881861581 | Robert Olson Jr. | Dentist | 8119 Ustick Rd, Boise, ID 83704-5754 | 2008-05-12 |
| 1912088709 | Stephen J Rodell Dds Pa | Dentist | 10480 W Garverdale Ct, #802, Boise, ID 83704-5477 | 2006-10-18 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.