P Praxis·MD
● Active Type 2 · Organization

Grin Pllc

Dentist·Idaho Falls, ID· NPI 1144720103 · Enumerated 2018 · 8 years on NPI
Grin Pllc is 1 of 1099 dentist organizations in Idaho.
NPI age
8 years
Enumerated 2018-02-16
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
📞 2085221164
Mailing address
885 Pancheri Dr
Idaho Falls, ID 834023344
📞 2085240870fax 2085240873

Authorized official

James G Drake, DMD
Doctor/partner
📞 2085240870

Specialties

  • Dentist Primary
    A 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.
    ID license #D3723ID license #D3203ID license #D1989 taxonomy 1223G0001X

Identifiers

TypeValueNotes
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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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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