● Active Type 2 · Organization
Braden M. Stauts DDS Llc
Clinic/Center·Boise, ID· NPI 1386899987
·
Enumerated 2008 · 17 years on NPI
Braden M. Stauts DDS Llc is 1 of 202 clinic/center organizations in Idaho.
NPI age
17 years
Enumerated 2008-11-24
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stauts
Owner
Last NPPES update
2008-11-24
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
17 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1000 N Curtis Rd, Suite 203
Boise, ID 837061337
📞 2083760567
Mailing address
1000 N Curtis Rd, Suite 203
Boise, ID 837061337
📞 2083760567
Authorized official
Braden M Stauts, DDS
Owner
📞 2083760567
Individual providers at this organization
16 individual providers on file at this primary practice address.
-
Lisa Bryner
Nurse Practitioner
NPI 1194508614
-
Rodde Cox
Physical Medicine & Rehabilitation
NPI 1417950213
-
Lynn Dammarell, RD,CDE,LD
Dietitian, Registered
NPI 1073959193
-
Kylee Domby, NP
Nurse Practitioner
NPI 1124398458
-
Cindy Horrocks, RD, LD, CDE
Dietitian, Registered
NPI 1992059125
-
Vic Kadyan, M.D.
Physical Medicine & Rehabilitation
NPI 1417950205
-
Amanda Keel, M.D.
Physical Medicine & Rehabilitation
NPI 1063491231
-
Kevin Krafft, M.D.
Rehabilitation Practitioner
NPI 1447253232
-
Ronald Lowry, M.D., D.D.S., P.A.
Specialist
NPI 1992797641
-
Jodi Marjonen, RN
Registered Nurse
NPI 1275579377
-
Michael McMartin, M.D.
Physical Medicine & Rehabilitation
NPI 1174526974
-
Sarah Miller, PHARMD
Pharmacist
NPI 1366461956
-
Stephen Nadler, PHARM.D.
Pharmacist
NPI 1578545976
-
Braden Stauts, DDS
Dentist
NPI 1578588364
-
Jessica Todd, APRN-BC
Nurse Practitioner
NPI 1861903643
-
Charles Webb, MD
Allergy & Immunology
NPI 1609865880
Identifiers
| Type | Value | Notes |
| 01 (ID) |
1578588364 |
PERSONAL NPI |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
16 individual providers on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.