P Praxis·MD
● Active Type 2 · Organization Subpart

Foothills Dental Care, Pllc

Dentist·Idaho Falls, ID· NPI 1205175668 · Enumerated 2013 · 13 years on NPI
Foothills Dental Care, Pllc is 1 of 591 dentist organizations in Idaho.
NPI age
13 years
Enumerated 2013-02-05
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Raichart
Insurance Coordinator
Last NPPES update
2013-02-06
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
13 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
1655 Pancheri Dr
Idaho Falls, ID 834023169
📞 2085221911fax 2085234441
Mailing address
2205 Channing Way, Suite A
Idaho Falls, ID 834048016
📞 2085294484fax 2085234441

Authorized official

Melissa K Raichart
Insurance Coordinator
📞 2085294484

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D3971ID license #D3464ID license #D4302ID license #D1719 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (ID) 1124035498
05 (ID) 1740501410
05 (ID) 1134356140
05 (ID) 1952317703
05 (ID) 1275619090
05 (ID) 1609952415

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • RiverWest Dental
    Type code 3 recorded 2013-02-05

Practice context

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

Subpart of Foothills Dental Care, Pllc.

Provyx · Custom healthcare lists

Need all 591 Dentist providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related