1ST CLASS DENTURES, LLC — NPI 1750223475 (Licensed & Credentialed Denturist in BOISE, ID)

CMS-1500 Box 24J / 33a • NPI

1750223475

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

122400000X

Licensed & Credentialed Denturist

Box 32 Service Location & ZIP+4

6051 N EAGLE RD, BOISE, ID, 83713-0997

✓ 9-Digit EDI 837 ZIP+4 (83713-0997)

Practice Phone & Referral Fax

(208) 336-8873

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1750223475 (1ST CLASS DENTURES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1750223475` (NPI-2 Organization / Facility)
Provider / Legal Name	1ST CLASS DENTURES, LLC
Plain-English Specialty	Licensed & Credentialed Denturist NUCC Code: `122400000X` (Denturist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6051 N EAGLE RD, BOISE, ID, 83713-0997
Practice Telephone / Fax	Tel: (208) 336-8873
Administrative Mailing Address	6051 N EAGLE RD, BOISE, ID, 83713-0997
Enumeration & Last Sync	Enumerated: 2026-04-09 \| CMS Record Updated: 2026-04-09
Authorized Official	JAMES VAN GIFFEN (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6051 N EAGLE RD, BOISE, ID, 83713-0997

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Plain-English Taxonomy & CMS Crosswalk (122400000X)

What Does Taxonomy Code 122400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122400000X translates to:
"Licensed & Credentialed Denturist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Denturist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (1ST CLASS DENTURES, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`122400000X` — Denturist Plain English: Licensed & Credentialed Denturist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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1ST CLASS DENTURES, LLC (NPI #1750223475)