NPI age
19 years
Enumerated 2006-08-08
● Active Type 2 · Organization
Riverside Dental Pc
Riverside Dental Pc is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harper
Owner/president
Last NPPES update
2008-07-30
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1120 Parkway Dr
Blackfoot, ID 83221
Mailing address
1120 Parkway Dr
Blackfoot, ID 83221
Authorized official
Bradford William Harper, DDS
Owner/president
📞 2087850878
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Bradford Harper, DDS Dentist NPI 1225208655
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002801200 | |
| 05 (UT) | 518546704002 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.