OrganizationActive
Cherry Lane Dental
NPI 1083660021 · Point of Service · Meridian, ID
Cherry Lane Dental is a Point of Service organization in Meridian, ID (NPI 1083660021).
Provider details
- NPI number
- 1083660021
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- John Bergloff, President(208) 888-7889
- License
- D-3409 (ID)
Specialties & taxonomies
Managed Care Organizations
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
20 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
1104 W Cherry Ln
Meridian, ID 83642-1513
Phone: (208) 888-7889
Street-level locationGet directions
Mailing address
1104 W Cherry Ln
Meridian, ID 83642-1513
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Cherry Lane Dental's NPI number?
- Cherry Lane Dental's National Provider Identifier (NPI) is 1083660021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cherry Lane Dental?
- Cherry Lane Dental is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Cherry Lane Dental located?
- Cherry Lane Dental's practice location on file with NPPES is 1104 W Cherry Ln, Meridian, ID 83642-1513.
- What is Cherry Lane Dental's phone number?
- The practice phone number listed in the NPPES registry for Cherry Lane Dental is (208) 888-7889.
- Who is the authorized official for Cherry Lane Dental?
- The authorized official listed on Cherry Lane Dental's NPPES record is John Bergloff, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cherry Lane Dental's NPI active?
- Yes — Cherry Lane Dental's NPI (1083660021) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.