OrganizationActive
Mini-Cassia Surgical PC
NPI 1457656217 · Surgery Physician · Rupert, ID
Mini-Cassia Surgical PC is a Surgery Physician organization in Rupert, ID (NPI 1457656217).
Provider details
- NPI number
- 1457656217
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daclynn Johnson, President(208) 436-8340
- License
- M7497 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1218 9th St
Ste 10
Rupert, ID 83350-2207
Phone: (208) 436-8340
Fax: (208) 436-3956
Approximate (ZIP-level) locationGet directions
Mailing address
1218 9th St
Rupert, ID 83350-2207
Registry dates
- Enumerated
- 2011-01-25
- Last updated
- 2011-01-25
Frequently asked questions
- What is Mini-Cassia Surgical PC's NPI number?
- Mini-Cassia Surgical PC's National Provider Identifier (NPI) is 1457656217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mini-Cassia Surgical PC?
- Mini-Cassia Surgical PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mini-Cassia Surgical PC located?
- Mini-Cassia Surgical PC's practice location on file with NPPES is 1218 9th St, Rupert, ID 83350-2207.
- What is Mini-Cassia Surgical PC's phone number?
- The practice phone number listed in the NPPES registry for Mini-Cassia Surgical PC is (208) 436-8340.
- Who is the authorized official for Mini-Cassia Surgical PC?
- The authorized official listed on Mini-Cassia Surgical PC's NPPES record is Daclynn Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mini-Cassia Surgical PC's NPI active?
- Yes — Mini-Cassia Surgical PC's NPI (1457656217) is active in the NPPES registry as of the last update on 2011-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.