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Emerald West Family Dentistry

NPI 1639238124ActiveOrganization· Dentist· Boise, ID

Dentist in Boise, Idaho, registered in NPPES in December 2006. The authorized official on file is Jayne Blazek, Office Manager.

Overview

NPI1639238124
StatusActive
Entity typeOrganization
NPI issuedDec 8, 2006
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X—ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other dentists in Boise

All 140 dentists in Boise · All dentists in Idaho