P Praxis·MD
● Active Type 2 · Organization

Eagle Rock Dental Care

Dentist·Idaho Falls, ID· NPI 1356465660 · Enumerated 2007 · 19 years on NPI
Eagle Rock Dental Care is 1 of 1099 dentist organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-19
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chapple
Administrator
Last NPPES update
2014-02-03
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
640 S Woodruff Ave
Idaho Falls, ID 834015299
📞 2085235400fax 2085280565
Mailing address
640 S Woodruff Ave
Idaho Falls, ID 834015299
📞 2085235400fax 2085280565

Authorized official

Trudee L Chapple
Administrator
📞 2085235400

Individual providers at this organization

7 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    ID license #D-1297ID license #D-3063ID license #D-1890ID license #D4138 taxonomy 1223G0001X
  • Dentist
    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 #D-3271 taxonomy 122300000X

Identifiers

TypeValueNotes
01 (ID) D4138 ISDA

Practice context

Multi-provider organization. 7 individual providers 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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