OrganizationActive
Boise Dermaesthetics, LLC
NPI 1639117153 · Family Medicine Physician · Boise, ID
Boise Dermaesthetics, LLC is a Family Medicine Physician organization in Boise, ID (NPI 1639117153).
Provider details
- NPI number
- 1639117153
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Lundy, Billing Manger(208) 452-6794
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
6126 W Emerald St
Boise, ID 83704-8857
Phone: (208) 323-6525
Street-level locationGet directions
Mailing address
6126 W Emerald St
Boise, ID 83704-8857
Other names (DBA / former)
- Former legal business name
- Mcconnehey Family Medicine
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2007-09-12
Frequently asked questions
- What is Boise Dermaesthetics, LLC's NPI number?
- Boise Dermaesthetics, LLC's National Provider Identifier (NPI) is 1639117153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boise Dermaesthetics, LLC?
- Boise Dermaesthetics, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Boise Dermaesthetics, LLC located?
- Boise Dermaesthetics, LLC's practice location on file with NPPES is 6126 W Emerald St, Boise, ID 83704-8857.
- What is Boise Dermaesthetics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Boise Dermaesthetics, LLC is (208) 323-6525.
- Who is the authorized official for Boise Dermaesthetics, LLC?
- The authorized official listed on Boise Dermaesthetics, LLC's NPPES record is Cheryl Lundy, Billing Manger. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boise Dermaesthetics, LLC's NPI active?
- Yes — Boise Dermaesthetics, LLC's NPI (1639117153) is active in the NPPES registry as of the last update on 2007-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.