OrganizationActive
Clubhouse Pediatric Dentistry of Madison
NPI 1306321351 · Pediatric Dentistry · Rexburg, ID
Clubhouse Pediatric Dentistry of Madison is a Pediatric Dentistry organization in Rexburg, ID (NPI 1306321351).
Provider details
- NPI number
- 1306321351
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jennifer Robison, Financial Coordinator(208) 520-1514
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 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
859 S Yellowstone Hwy
Rexburg, ID 83440-5293
Phone: (208) 552-5439
Street-level locationGet directions
Mailing address
859 S Yellowstone Hwy
Rexburg, ID 83440-5293
Registry dates
- Enumerated
- 2018-09-26
- Last updated
- 2018-09-26
Frequently asked questions
- What is Clubhouse Pediatric Dentistry of Madison's NPI number?
- Clubhouse Pediatric Dentistry of Madison's National Provider Identifier (NPI) is 1306321351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clubhouse Pediatric Dentistry of Madison?
- Clubhouse Pediatric Dentistry of Madison is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Clubhouse Pediatric Dentistry of Madison located?
- Clubhouse Pediatric Dentistry of Madison's practice location on file with NPPES is 859 S Yellowstone Hwy, Rexburg, ID 83440-5293.
- What is Clubhouse Pediatric Dentistry of Madison's phone number?
- The practice phone number listed in the NPPES registry for Clubhouse Pediatric Dentistry of Madison is (208) 552-5439.
- Who is the authorized official for Clubhouse Pediatric Dentistry of Madison?
- The authorized official listed on Clubhouse Pediatric Dentistry of Madison's NPPES record is Jennifer Robison, Financial Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clubhouse Pediatric Dentistry of Madison's NPI active?
- Yes — Clubhouse Pediatric Dentistry of Madison's NPI (1306321351) is active in the NPPES registry as of the last update on 2018-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.