P Praxis·MD
● Active Type 2 · Organization

Cherry Lane Dental

Point of Service·Meridian, ID· NPI 1083660021 · Enumerated 2006 · 20 years on NPI
Cherry Lane Dental is 1 of 10 point of service organizations in Idaho.
NPI age
20 years
Enumerated 2006-05-25
Primary specialty
Point of Service
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bergloff
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 10 active point of service providers in Idaho.

NPI age
20 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1104 W Cherry Ln
Meridian, ID 836421513
📞 2088887889
Mailing address
1104 W Cherry Ln
Meridian, ID 836421513
📞 2088887889

Authorized official

John Andrew Bergloff, D.D.S.
President
📞 2088887889

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Point of Service Primary
    This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
    ID license #D-3409 taxonomy 305S00000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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