OrganizationActive
Riverside Dental PC
NPI 1053321885 · Dentist · Blackfoot, ID
Riverside Dental PC is a Dentist organization in Blackfoot, ID (NPI 1053321885).
Provider details
- NPI number
- 1053321885
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Bradford Harper, Owner/President(208) 785-0878
- License
- D3225 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1120 Parkway Dr
Blackfoot, ID 83221
Phone: (208) 785-0878
Fax: (208) 785-0878
Street-level locationGet directions
Mailing address
1120 Parkway Dr
Blackfoot, ID 83221
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2008-07-30
Frequently asked questions
- What is Riverside Dental PC's NPI number?
- Riverside Dental PC's National Provider Identifier (NPI) is 1053321885, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Dental PC?
- Riverside Dental PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Riverside Dental PC located?
- Riverside Dental PC's practice location on file with NPPES is 1120 Parkway Dr, Blackfoot, ID 83221.
- What is Riverside Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Riverside Dental PC is (208) 785-0878.
- Who is the authorized official for Riverside Dental PC?
- The authorized official listed on Riverside Dental PC's NPPES record is Bradford Harper, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Dental PC's NPI active?
- Yes — Riverside Dental PC's NPI (1053321885) is active in the NPPES registry as of the last update on 2008-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.