JOHN C MATUNAS (NPI# 1205943669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205943669 |
| Entity Type | Individual |
| Full Name | JOHN C MATUNAS |
| Credential | DDS |
| Practice Address |
8000 Ustick Rd Boise ID 83704-5751 |
| Practice Telephone | 2083770252 |
| Practice Fax Number | 2083770256 |
| Mailing Telephone | 2083770252 |
| Mailing Fax Number | 2083770256 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D1567 | ID | Dental Providers |
| Street Address |
8000 USTICK RD |
| City | BOISE |
| State | ID |
| Zip Code | 83704-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801061080 | Laura Kathleen Lineberry | Dentist | 13059 W Persimmon Ln, Boise, ID 83713-1986 | 2008-04-28 |
| 1194910778 | Scott D Alexander | Dentist | 3167 South Bown Way, Boise, ID 83706 | 2007-09-07 |
| 1952504318 | Jacob Reed Jarivs | Dentist | 6000 S Quamash Way, Boise, ID 83716-5617 | 2007-06-05 |
| 1588879399 | Jon Miler | Dentist | 5220 N Eagle Rd, Boise, ID 83713-0945 | 2007-05-14 |
| 1194814251 | Steven David Gilman | Dentist | 7301 W Emerald St Ste 101, Boise, ID 83704-8689 | 2006-10-12 |
| 1396843058 | Marcus Lowry | Dentist | 9460 W. Franklin Rd, Boise, ID 83709 | 2006-09-20 |
| 1346344884 | John C. Slattery | Dentist | 600 E Riverpark Ln, Suite 100, Boise, ID 83706-6551 | 2006-09-12 |
| 1265535298 | James Kelly Poulsen | Dentist | 1453 W Hays, Boise, ID 83702 | 2006-09-06 |
| 1043322548 | Terrell F Tingey | Dentist | 2020 N Cole Rd, Boise, ID 83704 | 2006-08-31 |
| 1013920313 | Samuel G. Smith | Dentist | 1541 S. Times Square, Boise, ID 83709 | 2006-08-15 |
| 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.