BLACKFOOT FAMILY DENTISTRY
NPI 1609113455
Preferred Provider Organization in Blackfoot, ID

Q: What is Stone Ridge Dental P.C.'s NPI number?

The NPI number for Stone Ridge Dental P.C. is 1609113455. It was assigned to this organization in the NPPES registry on January 14, 2013. The provider is doing business as Blackfoot Family Dentistry.

Q: What is Stone Ridge Dental P.C.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since January 14, 2013

380 W JUDICIAL ST, BLACKFOOT, ID 83221(208) 785-6833 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blackfoot Family Dentistry NPPES

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

BLACKFOOT FAMILY DENTISTRY (NPI 1609113455) is a healthcare organization registered as a preferred provider organization in Blackfoot, Idaho and active in the NPI registry since January 2013. The organization lists Curtis Carpenter, President, as its authorized official.

NPPES Registry Identity

NPI1609113455

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameSTONE RIDGE DENTAL P.C.

Location Address380 W JUDICIAL STBlackfoot, ID 83221-2122

Mailing Address380 W Judicial StBlackfoot, ID 83221-2122 · (208) 785-6833

Phone(208) 785-6833

Organization SubpartNo

Authorized OfficialCurtis CarpenterPresident · (208) 357-7900

Enumeration DateJanuary 14, 2013

✔ NPI 1609113455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in ID · D-4169

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

380 W JUDICIAL ST, Blackfoot, ID 83221

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Other Names 1

Doing Business AsBlackfoot Family Dentistry

Other Providers at the Same Location NPPES

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

BLACKFOOT FAMILY DENTISTRY PLLC

Dentist

380 W JUDICIAL ST
BLACKFOOT, ID 83221

Bingham County (208) 785-6833

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 Stone Ridge Dental P.C.'s NPI number?

The NPI number for Stone Ridge Dental P.C. is 1609113455. It was assigned to this organization in the NPPES registry on January 14, 2013. The provider is doing business as Blackfoot Family Dentistry.

Where is Stone Ridge Dental P.C. located?

Stone Ridge Dental P.C. is located at 380 W Judicial St, Blackfoot, ID 83221. The listed phone number is (208) 785-6833.

What is Stone Ridge Dental P.C.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Stone Ridge Dental P.C. was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.