NPI age
14 years
Enumerated 2012-04-11
● Active
Type 1 · Individual
DR. Timothy Tracy Obrien, DDS, MD
Obrien is 1 of 17 dentist providers in Boise and 1 of 64 in Idaho.
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 64 active dentist providers in Idaho.
NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
403 S 11th St Ste 320
Boise, ID 837026968
Mailing address
403 S 11th St Ste 320
Boise, ID 837026968
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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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.