DR. BRADEN M STAUTS DDS NPI 1578588364

NPI Information

NPI: 1578588364
Provider Name: DR. BRADEN M STAUTS, DDS
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
1000 N CURTIS RD
SUITE 203
BOISE, ID
ZIP 83706
Phone: (208) 376-0567
Get Directions

DR. Braden M Stauts, DDS is a prosthodontics dentist in Boise, ID. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Braden M Stauts, DDS NPI is 1578588364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 N CURTIS RD
SUITE 203
BOISE, ID
ZIP 83706-337
Phone: (208) 376-0567
Fax: (208) 376-0661

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	D-2083-PR	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1204123	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
2	45353	MEDICARE UPIN	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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