NPI age
14 years
Enumerated 2011-08-23
● Active
Type 1 · Individual
Savarra Marie Mantzor, M.D.
Mantzor is 1 of 72 pediatrics providers in Boise and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
2 states
Top 73% — 27% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Practice location
8610 W Overland Rd
Boise, ID 837091645
Mailing address
777 N Raymond St
Boise, ID 837049251
Additional practice locations
1 secondary location on file with NPPES.
Location 2
190 E Bannock St
Boise, ID 837126241
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1164702049 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
Recently enumerated nearby: 5 new pediatrics providers have been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.