Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremy Shupperd, CPO

Individual provider Orthotist · NPI 1306698071

Mr. Jeremy Shupperd, CPO is an Orthotist in Boise, Idaho. Works from 3 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

427 N Curtis Rd
Boise, ID 83706-1439
Phone: (208) 342-4104
Fax: (208) 342-4106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 504 N 10th Ave Ste A, Caldwell, ID 83605-2925 — (208) 453-6404
  • 542 Addison Ave W, Twin Falls, ID 83301-5039 — (208) 342-4104

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X
Orthotist Taxonomy 222Z00000X

Record details

NPI number1306698071
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedApril 4, 2024
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

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