NPI age
12 years
Enumerated 2014-02-21
● Active
Type 1 · Individual
Daniel John Stackowicz, DDS
Stackowicz is 1 of 214 dentist providers in Boise and 1 of 1099 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1099 active dentist providers in Idaho.
NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-02Enumerated in NPPES
2014
2026
Where they practice
Practice location
1410 S Entertainment Ave
Boise, ID 837098306
Mailing address
1410 S Entertainment Ave
Boise, ID 837098306
Additional practice locations
1 secondary location on file with NPPES.
Location 2
7500 Cambridge St, Suite 6510
Houston, TX 770542032
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new dentist 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.