OrganizationActive
Blair Pediatric Dentistry PC
NPI 1629483987 · Pediatric Dentistry · Boise, ID
Blair Pediatric Dentistry PC is a Pediatric Dentistry organization in Boise, ID (NPI 1629483987).
Provider details
- NPI number
- 1629483987
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Randall Blair, President(702) 485-9804
- License
- D4550PD (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
5360 N Eagle Rd
Suite 103
Boise, ID 83713-4901
Phone: (208) 938-9958
Street-level locationGet directions
Mailing address
5360 N Eagle Rd
Boise, ID 83713-4901
Registry dates
- Enumerated
- 2014-06-25
- Last updated
- 2014-06-25
Frequently asked questions
- What is Blair Pediatric Dentistry PC's NPI number?
- Blair Pediatric Dentistry PC's National Provider Identifier (NPI) is 1629483987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blair Pediatric Dentistry PC?
- Blair Pediatric Dentistry PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Blair Pediatric Dentistry PC located?
- Blair Pediatric Dentistry PC's practice location on file with NPPES is 5360 N Eagle Rd, Boise, ID 83713-4901.
- What is Blair Pediatric Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Blair Pediatric Dentistry PC is (208) 938-9958.
- Who is the authorized official for Blair Pediatric Dentistry PC?
- The authorized official listed on Blair Pediatric Dentistry PC's NPPES record is Randall Blair, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blair Pediatric Dentistry PC's NPI active?
- Yes — Blair Pediatric Dentistry PC's NPI (1629483987) is active in the NPPES registry as of the last update on 2014-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.