NPI age
2 years
Enumerated 2023-10-11
● Active
Type 1 · Individual
Dejan Nenov
Nenov is 1 of 1 specialist providers in Boise and 1 of 1 in Idaho.
Primary specialty
Specialist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1 active specialist providers in Idaho.
NPI age
2 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-10Enumerated in NPPES
2023
2026
Where they practice
Practice location
250 W Bobwhite Ct Ste 120
Boise, ID 837066655
Mailing address
250 W Bobwhite Ct Ste 120
Boise, ID 837066655
Specialties
-
Specialist PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1 Specialist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.