Southeast Idaho Orthodontics, PLLC
NPI 1508080599 · Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID
Southeast Idaho Orthodontics, PLLC is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Pocatello, ID (NPI 1508080599).
Provider details
- NPI number
- 1508080599
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Eric Johnson, Owner(208) 237-0005
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeast Idaho Orthodontics, PLLC's NPI number?
- Southeast Idaho Orthodontics, PLLC's National Provider Identifier (NPI) is 1508080599, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Idaho Orthodontics, PLLC?
- Southeast Idaho Orthodontics, PLLC is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Southeast Idaho Orthodontics, PLLC located?
- Southeast Idaho Orthodontics, PLLC's practice location on file with NPPES is 625 E Alameda Rd, Pocatello, ID 83201-3622.
- What is Southeast Idaho Orthodontics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Idaho Orthodontics, PLLC is (208) 237-0005.
- Who is the authorized official for Southeast Idaho Orthodontics, PLLC?
- The authorized official listed on Southeast Idaho Orthodontics, PLLC's NPPES record is Eric Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Idaho Orthodontics, PLLC's NPI active?
- Yes — Southeast Idaho Orthodontics, PLLC's NPI (1508080599) 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.