NPI age
18 years
Enumerated 2008-04-30
● Active Type 2 · Organization
Scott M. Blake, Dds, Pc
Scott M. Blake, Dds, Pc is 1 of 64 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Schmidt
Receptionist
Last NPPES update
2008-04-30
Source: monthly bulk 2026-05
How this organization compares
Across 64 active dentist providers in Idaho.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
333 S Woodruff Ave
Idaho Falls, ID 834014322
Mailing address
333 S Woodruff Ave
Idaho Falls, ID 834014322
Authorized official
Elaine Schmidt
Receptionist
📞 2085232160
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Scott Blake, DDS Dentist NPI 1376684175
- Andrew Bradbury, MD Family Medicine NPI 1447837364
- Vernon Gaffner, D.M.D. Dentist NPI 1376627802
- Jeffrey Johnson, DDS, MS Dentist NPI 1821130253
- Ryan McGraw, DC Chiropractor NPI 1417729500
- Kevin Mudrow, D.D.S. Dentist NPI 1114126992
- John Owen, DDS Dentist NPI 1609977891
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1504752 | UNITED CONCORDIA |
| 05 (ID) | 806657300 | |
| 05 (ID) | 806720800 | |
| 05 (WY) | 118557800 | |
| 01 | 000010143970 | REGENCE BLUESHIELD |
| 01 | 6I468 | FEDERAL BXBS |
| 01 | 6M014 | UPIN BLUE CROSS |
Practice context
Multi-provider organization. 7 individual providers 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.