P Praxis·MD
● Active Type 2 · Organization

Riley J. Hicks D.d.s., P.A.

Dentist·Idaho Falls, ID· NPI 1164615084 · Enumerated 2007 · 18 years on NPI
Riley J. Hicks D.d.s., P.A. is 1 of 64 dentist organizations in Idaho.
NPI age
18 years
Enumerated 2007-08-23
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hicks
Owner
Last NPPES update
2007-08-23
Source: monthly bulk 2026-05

How this organization compares

Across 64 active dentist providers in Idaho.

NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
3905 Washington Pkwy
Idaho Falls, ID 834047596
📞 2085286000fax 2085286399
Mailing address
3905 Washington Pkwy
Idaho Falls, ID 834047596
📞 2085286000fax 2085286399

Authorized official

Riley Jared Hicks, D.D.S.
Owner
📞 2085286000

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    ID license #3314 taxonomy 1223S0112X

Identifiers

TypeValueNotes
05 (MT) 0025480

Practice context

Multi-provider organization. 1 individual provider 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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