NPI age
5 years
Enumerated 2020-05-27
● Active Type 2 · Organization
Dan Streeby, D.D.S.
Dan Streeby, D.D.S. is 1 of 114 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Streeby
Owner
Last NPPES update
2020-05-27
Source: monthly bulk 2026-05
How this organization compares
Across 114 active dentist providers in Idaho.
NPI age
5 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-05Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
450 W State St Ste 180
Eagle, ID 836166974
Mailing address
450 W State St Ste 180
Eagle, ID 836166974
Authorized official
Dan Robert Streeby, DDS
Owner
📞 2089390600
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Colton Charles, DMD Dentist NPI 1073826772
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 28911 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- 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.