OrganizationActive
Evan Hathaway DDS PA
NPI 1215016548 · Dentist · Boise, ID
Evan Hathaway DDS PA is a Dentist organization in Boise, ID (NPI 1215016548).
Provider details
- NPI number
- 1215016548
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Evan Hathaway, President(208) 377-1161
- License
- D2040 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7677 Emerald St
Boise, ID 83704
Phone: (208) 377-1161
Fax: (208) 376-3979
Street-level locationGet directions
Mailing address
7677 Emerald St
Boise, ID 83704
Other names (DBA / former)
- Former legal business name
- Evan W Hathaway DDS
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Evan Hathaway DDS PA's NPI number?
- Evan Hathaway DDS PA's National Provider Identifier (NPI) is 1215016548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evan Hathaway DDS PA?
- Evan Hathaway DDS PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Evan Hathaway DDS PA located?
- Evan Hathaway DDS PA's practice location on file with NPPES is 7677 Emerald St, Boise, ID 83704.
- What is Evan Hathaway DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Evan Hathaway DDS PA is (208) 377-1161.
- Who is the authorized official for Evan Hathaway DDS PA?
- The authorized official listed on Evan Hathaway DDS PA's NPPES record is Evan Hathaway, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evan Hathaway DDS PA's NPI active?
- Yes — Evan Hathaway DDS PA's NPI (1215016548) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.