OrganizationActive
Black Canyon Dental P C
NPI 1679732804 · General Practice Dentistry · Emmett, ID
Black Canyon Dental P C is a General Practice Dentistry organization in Emmett, ID (NPI 1679732804).
Provider details
- NPI number
- 1679732804
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shon Rooks, President(208) 365-3860
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1110 S Washington Ave
Emmett, ID 83617-3535
Phone: (208) 365-3860
Street-level locationGet directions
Mailing address
1110 S Washington Ave
Emmett, ID 83617-3535
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2008-06-05
Frequently asked questions
- What is Black Canyon Dental P C's NPI number?
- Black Canyon Dental P C's National Provider Identifier (NPI) is 1679732804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Canyon Dental P C?
- Black Canyon Dental P C is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Black Canyon Dental P C located?
- Black Canyon Dental P C's practice location on file with NPPES is 1110 S Washington Ave, Emmett, ID 83617-3535.
- What is Black Canyon Dental P C's phone number?
- The practice phone number listed in the NPPES registry for Black Canyon Dental P C is (208) 365-3860.
- Who is the authorized official for Black Canyon Dental P C?
- The authorized official listed on Black Canyon Dental P C's NPPES record is Shon Rooks, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Canyon Dental P C's NPI active?
- Yes — Black Canyon Dental P C's NPI (1679732804) is active in the NPPES registry as of the last update on 2008-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.