BRADEN M. STAUTS DDS LLC (NPI# 1386899987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386899987 |
| Entity Type | Organization |
| Organization Name | BRADEN M. STAUTS DDS LLC |
| Other Organization Name | BRADEN STAUTS DDS |
| Practice Address |
1000 N Curtis Rd Suite 203 Boise ID 83706-1337 |
| Practice Telephone | 2083760567 |
| Mailing Telephone | 2083760567 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | BRADEN M STAUTS (OWNER) |
| Authorized Official Telephone | 2083760567 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D-2083-PR | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | PERSONAL NPI | 1578588364 | 01 |
| Other Name | Type Code |
|---|---|
| Braden Stauts DDS | Former Legal Business Name - Organization |
| Street Address |
1000 N CURTIS RD SUITE 203 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526974 | Michael R Mcmartin | Physical Medicine & Rehabilitation | 1000 N Curtis Rd, Ste 202, Boise, ID 83706-1346 | 2005-05-24 |
| 1407225212 | Brianne Ayers | Physician Assistant | 1000 N Curtis Rd, Ste 303, Boise, ID 83706-1337 | 2015-09-22 |
| 1073959193 | Lynn Marie Dammarell | Dietitian, Registered | 1000 N Curtis Rd, Suite 305, Boise, ID 83706-1337 | 2013-05-15 |
| 1992059125 | Cindy Kay Horrocks | Dietitian, Registered | 1000 N Curtis Rd, Suite 305, Boise, ID 83706-1337 | 2012-11-09 |
| 1790049286 | Michael Lynn Gurney | Dentist | 1000 N Curtis Rd, Suite 203, Boise, ID 83706-1337 | 2012-06-28 |
| 1124398458 | Kylee Miranda Domby | Nurse Practitioner | 1000 N Curtis Rd, Ste 305, Boise, ID 83706 | 2012-01-03 |
| 1366461956 | Sarah Wakefield Miller | Pharmacist | 1000 N Curtis Rd, Suite 105, Boise, ID 83706-1337 | 2006-07-18 |
| 1578588364 | Braden M Stauts | Dentist | 1000 N Curtis Rd, Suite 203, Boise, ID 83706-1337 | 2006-07-13 |
| 1104851393 | Joseph J Callanan | Specialist | 1000 N Curtis Rd, Suite 303, Boise, ID 83706-1337 | 2006-07-12 |
| 1316979974 | Allergy Group PC | Allergy & Immunology | 1000 N Curtis Rd, Ste 303, Boise, ID 83706 | 2006-07-06 |
| Find all providers in the same location | ||||
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831678903 | Town Square Dental Partners, Pllc | Clinic/Center | 8660 W Emerald St Ste 152, Boise, ID 83704-4828 | 2018-08-09 |
| 1265935902 | Wilson Dental Pllc | Clinic/Center | 10497 W Garverdale Ct Ste 107, Boise, ID 83704-5468 | 2018-03-08 |
| 1912356841 | Joseph P. Schmidt Pllc | Clinic/Center | 2600 W Rose Hill St, Suite 100, Boise, ID 83705-5967 | 2016-06-10 |
| 1487046363 | Boise Caring Dentistry, P.C. | Clinic/Center | 5630 N Eagle Rd, Suite 101, Boise, ID 83713-4901 | 2015-03-02 |
| 1598154981 | Horizon 1 Pllc | Clinic/Center | 1000 N Curtis Rd Ste 103, Boise, ID 83706-1345 | 2015-01-22 |
| 1336220144 | Robert O Stevens Dmd, Pa | Clinic/Center | 10572 W Business Park Ln, Boise, ID 83709-6797 | 2006-10-18 |
| 1902810633 | Community Health Clinics | Clinic/Center | 2301 N 36th St, Suite 102, Boise, ID 83703-5207 | 2006-07-28 |
| 1255339297 | Dr. Kaci B. Jensen, Pllc | Clinic/Center | 9755 W Leo Dr, Boise, ID 83709-8249 | 2005-07-13 |
| 1427669720 | Lake Harbor Dental Pllc | Clinic/Center | 5355 W State St, Boise, ID 83703-3333 | 2020-08-11 |
| 1659915437 | Weimer Dental Pllc | Clinic/Center | 8336 W Northview St, Boise, ID 83704-7132 | 2019-11-04 |
| 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.