P Praxis·MD
● Active Type 1 · Individual

Randy Demetter, DDS

Dentist·Boise, ID· NPI 1275941288 · Enumerated 2014 · 11 years on NPI
Demetter is 1 of 18 dentist providers in Boise and 1 of 37 in Idaho.
NPI age
11 years
Enumerated 2014-07-23
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-04-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 37 active dentist providers in Idaho.

NPI age
11 years
↓ 7 yr below median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Practice location
140 E Boise Ave
Boise, ID 837064302
📞 2083859228
Mailing address
140 E Boise Ave
Boise, ID 837064302
📞 2083859228

Additional practice locations

1 secondary location on file with NPPES.

Location 2
347 W Iowa Ave
Nampa, ID 836862856
📞 2084634548

Specialties

  • Dentist Primary
    That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
    ID license #D-4831-PETX license #ETN283 taxonomy 1223P0300X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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