P Praxis·MD
● Active Type 1 · Individual

Justin Hastings, DDS, MD

Oral & Maxillofacial Surgery·Boise, ID· NPI 1831496843 · Enumerated 2011 · 15 years on NPI
Hastings is 1 of 4 oral & maxillofacial surgery providers in Boise and 1 of 7 in Idaho.
NPI age
15 years
Enumerated 2011-02-28
Primary specialty
Oral & Maxillofacial Surgery
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-04-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7 active oral & maxillofacial surgery providers in Idaho.

NPI age
15 years
↑ 4 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
71% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Practice location
3003 W Main St Ste 130
Boise, ID 837022026
📞 2083427610fax 2083441799
Mailing address
3003 W Main St Ste 130
Boise, ID 837022026
📞 2083427610fax 2083441799

Specialties

  • Oral & Maxillofacial Surgery Primary
    Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
    ID license #D-4845OSID license #M-13732 taxonomy 204E00000X

Identifiers

TypeValueNotes
05 (ID) 1104248053

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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