NPI age
6 years
Enumerated 2019-06-26
● Active Type 2 · Organization
Backcountry Dental Docs, Llc
Backcountry Dental Docs, Llc is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Berry
Manager
Last NPPES update
2022-10-03
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
6 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 17% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-06Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
109 McKinley Ave
Kellogg, ID 838372501
Mailing address
2691 E Thomas Hill Dr
Coeur D Alene, ID 838156335
Authorized official
Hillary Anne Berry, DMD
Manager
📞 4254091655
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Dakota Baker, DDS Dentist NPI 1104682301
- Hillary Berry, DMD Dentist NPI 1396800033
Specialties
-
Dentist PrimaryA 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...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 21014 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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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.