OrganizationActive
Blue Creek Endodontics
NPI 1417353830 · Endodontics · Meridian, ID
Blue Creek Endodontics is a Endodontics organization in Meridian, ID (NPI 1417353830).
Provider details
- NPI number
- 1417353830
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- James Eaton, President(901) 267-2294
- License
- D-4611-EN (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3240 E Louise Dr
Suite 110
Meridian, ID 83642-5107
Phone: (208) 578-4700
Fax: (208) 578-4704
Street-level locationGet directions
Mailing address
3240 E Louise Dr
Meridian, ID 83642-5107
Registry dates
- Enumerated
- 2014-11-12
- Last updated
- 2014-11-12
Frequently asked questions
- What is Blue Creek Endodontics's NPI number?
- Blue Creek Endodontics's National Provider Identifier (NPI) is 1417353830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Creek Endodontics?
- Blue Creek Endodontics is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Blue Creek Endodontics located?
- Blue Creek Endodontics's practice location on file with NPPES is 3240 E Louise Dr, Meridian, ID 83642-5107.
- What is Blue Creek Endodontics's phone number?
- The practice phone number listed in the NPPES registry for Blue Creek Endodontics is (208) 578-4700.
- Who is the authorized official for Blue Creek Endodontics?
- The authorized official listed on Blue Creek Endodontics's NPPES record is James Eaton, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Creek Endodontics's NPI active?
- Yes — Blue Creek Endodontics's NPI (1417353830) is active in the NPPES registry as of the last update on 2014-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.