P Praxis·MD
● 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
Subspecialties
0

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.

  • Stevens Dental
    Type code 3 recorded 2018-08-15
  • Stevens Dental
    Type code 3 recorded 2018-08-09

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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