P Praxis·MD
● Active Type 2 · Organization

Stone Ridge Dental Inc.

Preferred Provider Organization·Shelley, ID· NPI 1558512277 · Enumerated 2008 · 17 years on NPI
Stone Ridge Dental Inc. is 1 of 14 preferred provider organization organizations in Idaho.
NPI age
17 years
Enumerated 2008-10-01
Primary specialty
Preferred Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Carpenter
Owner
Last NPPES update
2008-10-01
Source: monthly bulk 2026-05

How this organization compares

Across 14 active preferred provider organization providers in Idaho.

NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-10Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
1035 October Cv
Shelley, ID 832745068
📞 2083570307
Mailing address
295 Anderson Road
Shelley, ID 83274

Authorized official

Curtis Carpenter, D.D.S.
Owner
📞 2083467045

Specialties

  • Preferred Provider Organization Primary
    A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
    ID license #D-4169 taxonomy 305R00000X

Practice context

Single-site organization. Only one practice location on file.

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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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