NPI age
3 years
Enumerated 2022-07-05
● Active
Type 1 · Individual
Tai Banta
Banta is 1 of 105 physician assistant providers in Idaho Falls and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-07Enumerated in NPPES
2022
2026
Where they practice
Practice location
14107 N 5th E
Idaho Falls, ID 834015105
Mailing address
14107 N 5th E
Idaho Falls, ID 834015105
Additional practice locations
1 secondary location on file with NPPES.
Location 2
921 S 8th Ave Stop 8253
Pocatello, ID 832090002
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.