OrganizationActive
Idaho State University
NPI 1851516256 · General Practice Dentistry · Pocatello, ID
Idaho State University is a General Practice Dentistry organization in Pocatello, ID (NPI 1851516256).
Provider details
- NPI number
- 1851516256
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Idaho State University
- Organization subpart
- Yes
- Authorized official
- Brian Crawford, Program Director Iagd(208) 282-5275
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
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
465 Memorial Dr.
Pocatello, ID 83209-8088
Phone: (208) 282-6000
Fax: (208) 282-4950
Street-level locationGet directions
Mailing address
921 S. 8th Ave., Stop 8088
Pocatello, ID 83209-8088
Other names (DBA / former)
- Doing business as
- Pocatello Family Dentistry
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2008-03-24
Frequently asked questions
- What is Idaho State University's NPI number?
- Idaho State University's National Provider Identifier (NPI) is 1851516256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho State University?
- Idaho State University is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Idaho State University located?
- Idaho State University's practice location on file with NPPES is 465 Memorial Dr., Pocatello, ID 83209-8088.
- What is Idaho State University's phone number?
- The practice phone number listed in the NPPES registry for Idaho State University is (208) 282-6000.
- Who is the authorized official for Idaho State University?
- The authorized official listed on Idaho State University's NPPES record is Brian Crawford, Program Director Iagd. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho State University's NPI active?
- Yes — Idaho State University's NPI (1851516256) is active in the NPPES registry as of the last update on 2008-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.