OrganizationActive
Backcountry Dental Docs, LLC
NPI 1235790510 · Dentist · Kellogg, ID
Backcountry Dental Docs, LLC is a Dentist organization in Kellogg, ID (NPI 1235790510).
Provider details
- NPI number
- 1235790510
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Hillary Berry, Manager(425) 409-1655
Specialties & taxonomies
Dental Providers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
109 Mckinley Ave
Kellogg, ID 83837-2501
Phone: (208) 784-0545
Street-level locationGet directions
Mailing address
2691 E Thomas Hill Dr
Coeur D Alene, ID 83815-6335
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Frequently asked questions
- What is Backcountry Dental Docs, LLC's NPI number?
- Backcountry Dental Docs, LLC's National Provider Identifier (NPI) is 1235790510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Backcountry Dental Docs, LLC?
- Backcountry Dental Docs, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Backcountry Dental Docs, LLC located?
- Backcountry Dental Docs, LLC's practice location on file with NPPES is 109 Mckinley Ave, Kellogg, ID 83837-2501.
- What is Backcountry Dental Docs, LLC's phone number?
- The practice phone number listed in the NPPES registry for Backcountry Dental Docs, LLC is (208) 784-0545.
- Who is the authorized official for Backcountry Dental Docs, LLC?
- The authorized official listed on Backcountry Dental Docs, LLC's NPPES record is Hillary Berry, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Backcountry Dental Docs, LLC's NPI active?
- Yes — Backcountry Dental Docs, LLC's NPI (1235790510) is active in the NPPES registry as of the last update on 2022-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.