Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ada Dermatology, P.A.

Procedural Dermatology Physician in Boise, ID · enumerated 2006 · authorized official Richard Blickenstaff, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952483299

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Registry record

Entity type Organization (Type 2)

Legal business name Ada Dermatology, P.A.

Practice address 6454 W Emerald Street, Boise, ID, 83704

Phone (208) 377-0820

Enumeration date Oct 19, 2006

Last updated in NPPES Jan 30, 2012

Taxonomy & classification

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License M-5274 (ID) Primary

Authorized official

Name Richard Blickenstaff

Title President

Phone (208) 377-0820

Other identifiers

Identifier	Type	State	Issuer
002639100	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-01-30. Verify at npiregistry.cms.hhs.gov.

Where is Ada Dermatology, P.A. located?

The practice location on file with NPPES is in Boise, ID.

Providers at this address

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Richard Blickenstaff Procedural Dermatology Physician · Boise, ID NPI 1265514582 Juliann Visser Physician Assistant · Boise, ID NPI 1922309848

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-30.