John Stanley Kriz, DDS
Dentist in Boise, ID. Individual provider (NPI-1).
NPI number1003919986
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003919986
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Stanley Kriz
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D1499 | ID | Yes |
Practice location
7235 Emerald StSuite B
Boise, ID 83704-8600
Phone 208-376-7740 · Fax 208-376-0468
Mailing address
7235 Emerald StSuite B
Boise, ID 83704-8600
Phone 208-376-7740 · Fax 208-376-0468
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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