DWIGHT ROMRIELL
NPI 1487760450
Dentist - General Practice in Pocatello, ID

Active since August 22, 2006PECOS Enrolled
1777 E CLARK ST, SUITE 240, POCATELLO, ID 83201(208) 234-7246(208) 232-0207 Get Directions Write a Review

NPPES record last updated: June 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2017, May 23, 2017 (2 updates tracked since 2017).

About Dwight Romriell NPPES

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

DWIGHT ROMRIELL (NPI 1487760450) is an individual general practice provider in Pocatello, Idaho, licensed in Idaho (D1612) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1487760450
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDWIGHT ROMRIELL
Location Address1777 E CLARK ST, SUITE 240Pocatello, ID 83201
Mailing Address1777 E Clark St, Suite 240Pocatello, ID 83201 · (208) 234-7246 · Fax (208) 232-0207
Fax(208) 232-0207
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateAugust 22, 2006
Last NPPES UpdateJune 1, 20172 updates tracked since enumeration
NPI 1487760450 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 · D1612
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.
1777 E CLARK ST, Pocatello, ID 83201

Other Identifiers 1

Medicare NSC6198970001ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dwight Romriell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911948674
PECOS Enrollment IDI20050512000940
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 83201 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 3

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

Podiatrist
1777 E CLARK ST, SUITE 220
POCATELLO, ID 83201
Psychiatry & Neurology (Psychiatry)
1777 E CLARK ST, SUITE 330
POCATELLO, ID 83201
Podiatrist
1777 E CLARK ST, SUITE 220
POCATELLO, ID 83201

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 Dwight Romriell's NPI number?

The NPI number for Dwight Romriell is 1487760450. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Dwight Romriell located?

Dwight Romriell practices at 1777 E Clark St Suite 240, Pocatello, ID 83201. The listed phone number is (208) 234-7246.

What is Dwight Romriell's specialty?

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

Is Dwight Romriell enrolled in Medicare?

Yes. Dwight Romriell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dwight Romriell was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.