P Praxis·MD
● Active Type 1 · Individual

DR. Adam J Shipp, DMD, MS

Dentist·Boise, ID· NPI 1114077369 · Enumerated 2007 · 19 years on NPI
Shipp is 1 of 17 dentist providers in Boise and 1 of 48 in Idaho.
NPI age
19 years
Enumerated 2007-01-11
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 48 active dentist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1555 S Timesquare Ln
Boise, ID 837098266
📞 2086728860fax 2086728767
Mailing address
1555 S Timesquare Ln
Boise, ID 837098266
📞 2086728860fax 2086728767

Specialties

  • Dentist Primary
    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
    ID license #D3834EN taxonomy 1223E0200X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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