P Praxis·MD
● Active Type 2 · Organization

Stone Ridge Dental P.c.

Preferred Provider Organization·Blackfoot, ID· NPI 1609113455 · Enumerated 2013 · 13 years on NPI
Stone Ridge Dental P.c. is 1 of 14 preferred provider organization organizations in Idaho.
NPI age
13 years
Enumerated 2013-01-14
Primary specialty
Preferred Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Carpenter
President
Last NPPES update
2013-01-14
Source: monthly bulk 2026-05

How this organization compares

Across 14 active preferred provider organization providers in Idaho.

NPI age
13 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-01Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
380 W Judicial St
Blackfoot, ID 832212122
📞 2087856833
Mailing address
380 W Judicial St
Blackfoot, ID 832212122
📞 2087856833

Authorized official

Curtis Carpenter, D.D.S.
President
📞 2083577900

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

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Blackfoot Family Dentistry
    Type code 3 recorded 2013-01-14

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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