P Praxis·MD
● Active Type 1 · Individual

Dan Streeby, DDS

Dentist·Eagle, ID· NPI 1396795068 · Enumerated 2006 · 20 years on NPI
Streeby is 1 of 2 dentist providers in Eagle and 1 of 114 in Idaho.
NPI age
20 years
Enumerated 2006-05-11
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-01-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 114 active dentist providers in Idaho.

NPI age
20 years
↑ 7 yr above median (13 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
450 W State St, Ste 180
Eagle, ID 836166974
📞 2089390600
Mailing address
450 W State St, Ste 180
Eagle, ID 836166974
📞 2089390600fax 2089390774

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    ID license #D3301PD taxonomy 1223P0221X
  • 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 #D3301PD taxonomy 122300000X

Identifiers

TypeValueNotes
01 (ID) D3301PD STATE LICENSE #

Practice context

Part of a multi-provider practice. 8 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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