P Praxis·MD
● Active Type 2 · Organization

Wray Dermatology

Dermatology·Blackfoot, ID· NPI 1457110298 · Enumerated 2024 · 2 years on NPI
Wray Dermatology is 1 of 102 dermatology organizations in Idaho.
NPI age
2 years
Enumerated 2024-03-14
Primary specialty
Dermatology
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Wray
Owner
Last NPPES update
2026-05-06
Source: monthly bulk 2026-05

How this organization compares

Across 102 active dermatology providers in Idaho.

NPI age
2 years
↓ 16 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-03Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
1355 Parkway Dr Ste A
Blackfoot, ID 832211656
📞 9862750003fax 9862750005
Mailing address
1355 Parkway Dr Ste A
Blackfoot, ID 832211656
📞 9862750003fax 9862750005

Additional practice locations

1 secondary location on file with NPPES.

Location 2
500 S 11th Ave Ste 301
Pocatello, ID 832014879
📞 9862288765fax 9862750005

Authorized official

Adam Wray, DO
Owner
📞 9862750003

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    taxonomy 207N00000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.

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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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