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GRIN PLLC
NPI 1144720103
Dentist - General Practice in Idaho Falls, ID

Active since February 16, 2018
2685 CHANNING WAY, IDAHO FALLS, ID 83404(208) 522-1164 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grin Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRIN PLLC (NPI 1144720103) is a healthcare organization registered as a general practice in Idaho Falls, Idaho and active in the NPI registry since February 2018. The organization lists James G Drake, Doctor/partner, as its authorized official.

NPPES Registry Identity

NPI1144720103
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRIN PLLC
Location Address2685 CHANNING WAYIdaho Falls, ID 83404-7518
Mailing Address885 Pancheri DrIdaho Falls, ID 83402-3344 · (208) 524-0870 · Fax (208) 524-0873
Phone(208) 522-1164
Organization SubpartNo
Authorized OfficialJames G DrakeDoctor/partner · (208) 524-0870
Enumeration DateFebruary 16, 2018
✔ NPI 1144720103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in ID · D3723✔ Licensed in ID · D3203✔ Licensed in ID · D1989
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2685 CHANNING WAY, Idaho Falls, ID 83404
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Other Identifiers 4

Other001493204United Concordia
Other6C016ID · Blue Cross Of Idaho
Other000886878United Concordia
Other6K158ID · Blue Cross Of Idaho

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grin PLLC's NPI number?

The NPI number for Grin PLLC is 1144720103. It was assigned to this organization in the NPPES registry on February 16, 2018.

Where is Grin PLLC located?

Grin PLLC is located at 2685 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 522-1164.

What is Grin PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Grin PLLC was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.