P Praxis·MD
● Active Type 1 · Individual

DR. Tyler Layton Hendricks, DDS

Dentist·Boise, ID· NPI 1891356184 · Enumerated 2019 · 6 years on NPI
Hendricks is 1 of 214 dentist providers in Boise and 1 of 1099 in Idaho.
NPI age
6 years
Enumerated 2019-06-26
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-06-26
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
6 years
↓ 12 yr below median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-06Enumerated in NPPES
2019 2026

Where they practice

Practice location
813 N Stilson Rd
Boise, ID 837035119
📞 2083424644fax 2083758208
Mailing address
813 N Stilson Rd
Boise, ID 837035119
📞 2083424644fax 2083758208

Specialties

  • Dentist Primary
    A 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.
    ID license #D-5062 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 3 new dentist providers have been added in Boise in the last 180 days. See all →
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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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