NPI age
8 years
Enumerated 2018-02-16
● Active Type 2 · Organization
Grin Pllc
Grin Pllc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Drake
Doctor/partner
Last NPPES update
2018-02-16
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-02Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
2685 Channing Way
Idaho Falls, ID 834047518
Mailing address
885 Pancheri Dr
Idaho Falls, ID 834023344
Authorized official
James G Drake, DMD
Doctor/partner
📞 2085240870
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 000886878 | UNITED CONCORDIA |
| 01 | 001493204 | UNITED CONCORDIA |
| 01 (ID) | 6K158 | BLUE CROSS OF IDAHO |
| 01 (ID) | 6C016 | BLUE CROSS OF IDAHO |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.