P Praxis·MD
● Active Type 1 · Individual

Jared Worthington, DDS

Dentist·Blackfoot, ID· NPI 1861067993 · Enumerated 2021 · 5 years on NPI
Worthington is 1 of 2 dentist providers in Blackfoot and 1 of 114 in Idaho.
NPI age
5 years
Enumerated 2021-05-21
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 114 active dentist providers in Idaho.

NPI age
5 years
↓ 8 yr below median (13 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-05Enumerated in NPPES
2021 2026

Where they practice

Practice location
621 Jensen Grove Dr
Blackfoot, ID 832211685
📞 4356689919
Mailing address
621 Jensen Grove Dr
Blackfoot, ID 832211685

Specialties

  • Dentist Primary
    An 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.
    ID license #9671742 taxonomy 1223P0221X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #9671742 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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