OrganizationActive
Sunnyside Dental Care PC
NPI 1003144114 · General Practice Dentistry · Idaho Falls, ID
Sunnyside Dental Care PC is a General Practice Dentistry organization in Idaho Falls, ID (NPI 1003144114).
Provider details
- NPI number
- 1003144114
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Evan Johnson, President(208) 522-8854
- License
- D1853 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1520 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone: (208) 522-8854
Street-level locationGet directions
Mailing address
1520 Elk Creek Dr
Idaho Falls, ID 83404-8322
Registry dates
- Enumerated
- 2009-12-01
- Last updated
- 2015-05-20
Frequently asked questions
- What is Sunnyside Dental Care PC's NPI number?
- Sunnyside Dental Care PC's National Provider Identifier (NPI) is 1003144114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sunnyside Dental Care PC?
- Sunnyside Dental Care PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Sunnyside Dental Care PC located?
- Sunnyside Dental Care PC's practice location on file with NPPES is 1520 Elk Creek Dr, Idaho Falls, ID 83404-8322.
- What is Sunnyside Dental Care PC's phone number?
- The practice phone number listed in the NPPES registry for Sunnyside Dental Care PC is (208) 522-8854.
- Who is the authorized official for Sunnyside Dental Care PC?
- The authorized official listed on Sunnyside Dental Care PC's NPPES record is Evan Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sunnyside Dental Care PC's NPI active?
- Yes — Sunnyside Dental Care PC's NPI (1003144114) is active in the NPPES registry as of the last update on 2015-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.