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NPI 1457110298
● 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
NPI lifetime · 2024 → 2026
2024-03 Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
1355 Parkway Dr Ste A
Blackfoot, ID 832211656
📞 9862750003 fax 9862750005
Mailing address
1355 Parkway Dr Ste A
Blackfoot, ID 832211656
📞 9862750003 fax 9862750005
Additional practice locations
1 secondary location on file with NPPES.
Location 2
500 S 11th Ave Ste 301
Pocatello, ID 832014879
📞 9862288765 fax 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
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.