NPI age
17 years
Enumerated 2008-06-11
● Active Type 2 · Organization
Subpart
McRae Dental PA
McRae Dental PA is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McRae
Dr
Last NPPES update
2017-10-20
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
17 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1067 S. Wells St.
Meridian, ID 836423561
Mailing address
1067 S Wells St
Meridian, ID 836427997
Authorized official
Lon Chad McRae, DMD
Dr
📞 2088948486
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805008600 |
Practice context
Single-site organization. Only one practice location on file.
Subpart of McRae Dental.
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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.