OrganizationActive
Identistry PLLC
NPI 1477144038 · Dental Clinic/Center · Homedale, ID
Identistry PLLC is a Dental Clinic/Center organization in Homedale, ID (NPI 1477144038).
Provider details
- NPI number
- 1477144038
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jared Martin, Ceo(208) 869-2243
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
115 S Main St
Homedale, ID 83628-3415
Phone: (208) 869-2243
Street-level locationGet directions
Mailing address
115 S Main St
Homedale, ID 83628-3415
Registry dates
- Enumerated
- 2021-01-27
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Frequently asked questions
- What is Identistry PLLC's NPI number?
- Identistry PLLC's National Provider Identifier (NPI) is 1477144038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Identistry PLLC?
- Identistry PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Identistry PLLC located?
- Identistry PLLC's practice location on file with NPPES is 115 S Main St, Homedale, ID 83628-3415.
- What is Identistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Identistry PLLC is (208) 869-2243.
- Who is the authorized official for Identistry PLLC?
- The authorized official listed on Identistry PLLC's NPPES record is Jared Martin, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Identistry PLLC's NPI active?
- Yes — Identistry PLLC's NPI (1477144038) is active in the NPPES registry as of the last update on 2026-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.