OrganizationActive
Fruitland Orthopedic Clinic
NPI 1710975057 · Orthopaedic Surgery Physician · Fruitland, ID
Provider details
- NPI number
- 1710975057
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jan Dahlin, Owner(208) 452-2510
- License
- MD13079 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1118 Nw 16th St
Suite C
Fruitland, ID 83619-2271
Phone: (208) 452-2510
Fax: (208) 452-2513
Street-level locationGet directions
Mailing address
1118 Nw 16th St
Fruitland, ID 83619-2271
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 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.