OrganizationActive
Heroic Diabetes Incorporated
NPI 1508742909 · Pediatrics Physician · Meridian, ID
Provider details
- NPI number
- 1508742909
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaren Smith, President(208) 821-4136
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4214 N Ambercreek Ave
Meridian, ID 83646-7019
Phone: (208) 821-4136
Approximate (ZIP-level) locationGet directions
Mailing address
1302 Meadowview Ave
Rexburg, ID 83440-5079
Registry dates
- Enumerated
- 2025-08-12
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.