● Active Type 2 · Organization
Yoeli Park, Pllc
Clinic/Center·Boise, ID· NPI 1730669292
·
Enumerated 2018 · 7 years on NPI
Yoeli Park, Pllc is 1 of 202 clinic/center organizations in Idaho.
NPI age
7 years
Enumerated 2018-08-15
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hammer
Owner/docter
Last NPPES update
2018-08-15
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
7 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2018 → 2026
2018-08Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
10572 W Business Park Ln
Boise, ID 837096797
📞 2083755656
Mailing address
203 7th Ave S
Nampa, ID 836513846
📞 2084668400
Authorized official
Jason Hammer, DMD
Owner/docter
📞 2084668400
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QD0000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
1 individual provider 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.