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THOMAS LAGRAND BLAISDELL D.D.S.
NPI 1437356029
Dentist - General Practice in Caldwell, ID

Active since June 28, 2007PECOS Enrolled
1916 ELLIS AVE, CALDWELL, ID 83605(208) 459-2376(208) 459-1524 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Lagrand Blaisdell D.d.s. NPPES

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

THOMAS LAGRAND BLAISDELL D.D.S. (NPI 1437356029) is an individual general practice provider in Caldwell, Idaho, licensed in Idaho (D4079) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437356029
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTHOMAS LAGRAND BLAISDELLCredential: D.D.S.
Location Address1916 ELLIS AVECaldwell, ID 83605-4811
Mailing Address416 Larkspur CtCaldwell, ID 83605-6294 · (208) 402-4302
Phone(208) 459-2376
Fax(208) 459-1524
Sole ProprietorNo
Enumeration DateJune 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437356029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D4079
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.
1916 ELLIS AVE, Caldwell, ID 83605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Lagrand Blaisdell D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLUB 32 DENTAL CALDWELL PLLC
Dentist (General Practice)
1916 ELLIS AVE
CALDWELL, ID 83605
Canyon County (208) 466-2456
TODAYS DENTISTRY CALDWELL WEST PLLC
Clinic/Center (Dental)
1916 ELLIS AVE
CALDWELL, ID 83605
Canyon County (208) 459-8505
DR. JOHN DAVID BLAISDELL D.D.S.
Dentist
1916 ELLIS AVE
CALDWELL, ID 83605
Canyon County (208) 459-2376
BLAISDELL DENTAL CENTER, PA
Dentist (General Practice)
1916 ELLIS AVE
CALDWELL, ID 83605
Canyon County (208) 459-2376

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 Thomas Blaisdell's NPI number?

The NPI number for Thomas Blaisdell is 1437356029. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Thomas Blaisdell located?

Thomas Blaisdell practices at 1916 Ellis Ave, Caldwell, ID 83605. The listed phone number is (208) 459-2376.

What is Thomas Blaisdell's specialty?

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

Is Thomas Blaisdell enrolled in Medicare?

Yes. Thomas Blaisdell is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Blaisdell accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Thomas Blaisdell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Blaisdell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.