DR. JOHN C. SLATTERY (NPI# 1346344884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346344884 |
| Entity Type | Individual |
| Full Name | DR. JOHN C. SLATTERY |
| Credential | DDS, MS |
| Practice Address |
600 E Riverpark Ln Suite 100 Boise ID 83706-6551 |
| Practice Telephone | 2084331122 |
| Practice Fax Number | 2084331125 |
| Mailing Telephone | 2084331122 |
| Mailing Fax Number | 2084331125 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D-3500-OR | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790997039 | John Patrick Slattery | Psychologist | 2517 Eastlake Ave E, Suite 102, Seattle, WA 98102-3278 | 2007-05-07 |
| 1033109236 | John Gormley Slattery | Family Medicine | 925 Main St, East Greenwich, RI 02818-3116 | 2005-10-27 |
| Street Address |
600 E RIVERPARK LN SUITE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-6551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487787693 | Tom Farner | Counselor | 600 E Riverpark Ln, Ste 200, Boise, ID 83706-6551 | 2007-03-14 |
| 1992838114 | Bruce Wixson | Counselor | 600 E Riverpark Ln, Ste 200, Boise, ID 83706-6551 | 2007-03-14 |
| 1770616971 | Mary Ann Herzing | Counselor | 600 E Riverpark Ln, Ste 200, Boise, ID 83706-6551 | 2007-03-14 |
| 1780717975 | Lyla Sprague | Counselor | 600 E Riverpark Ln, Ste 200, Boise, ID 83706-6551 | 2007-03-14 |
| 1609909811 | Susan Mauk | Counselor | 600 E Riverpark Ln, Ste 200, Boise, ID 83706-6551 | 2007-03-14 |
| 1255464418 | Bette Carlson | Social Worker | 600 E Riverpark Ln, Ste 200, Boise, ID 83706-6551 | 2007-03-14 |
| 1578628749 | Behavioral Health Associates LLP | Social Worker | 600 E Riverpark Ln, Ste 200, Boise, ID 83706 | 2006-12-27 |
| 1235299652 | Jennifer Hurds | Social Worker | 600 E Riverpark Ln, Suite 105, Boise, ID 83706-6551 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| 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 |
| 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 |
| 1205943669 | John C Matunas | Dentist | 8000 Ustick Rd, Boise, ID 83704-5751 | 2006-08-23 |
| 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.