OrganizationActive
Idaho State University
NPI 1912110164 · Dentist · Boise, ID
Idaho State University is a Dentist organization in Boise, ID (NPI 1912110164).
Provider details
- NPI number
- 1912110164
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Tina Freeman, Office Manager(208) 331-0182
- License
- D-1819 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
2033 E Summersweet Dr
Boise, ID 83716-6695
Phone: (208) 331-0182
Fax: (208) 331-0184
Street-level locationGet directions
Mailing address
2033 E Summersweet Dr
Boise, ID 83716-6695
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2008-06-24
Frequently asked questions
- What is Idaho State University's NPI number?
- Idaho State University's National Provider Identifier (NPI) is 1912110164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho State University?
- Idaho State University is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Idaho State University located?
- Idaho State University's practice location on file with NPPES is 2033 E Summersweet Dr, Boise, ID 83716-6695.
- What is Idaho State University's phone number?
- The practice phone number listed in the NPPES registry for Idaho State University is (208) 331-0182.
- Who is the authorized official for Idaho State University?
- The authorized official listed on Idaho State University's NPPES record is Tina Freeman, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho State University's NPI active?
- Yes — Idaho State University's NPI (1912110164) is active in the NPPES registry as of the last update on 2008-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.