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JAKE GROBERG
NPI 1700728391
Dentist - General Practice in Pocatello, ID

Active since April 06, 2026
465 MEMORIAL DR, POCATELLO, ID 83201(208) 282-6000 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake Groberg NPPES

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

JAKE GROBERG (NPI 1700728391) is an individual general practice provider in Pocatello, Idaho, licensed in Idaho (3581210) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1700728391
Entity TypeIndividual
Primary Taxonomy1223G0001X
Provider Legal NameJAKE GROBERG
Location Address465 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address465 Memorial DrPocatello, ID 83201-4008 · (208) 282-6000
Phone(208) 282-6000
Sole ProprietorYes
Enumeration DateApril 6, 2026
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1700728391 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 · 3581210
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.
465 MEMORIAL DR, Pocatello, ID 83201
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Other Providers at the Same Location NPPES 20

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

DR. JORDIN MILLWARD PHARMD
Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3387
KATELYN BERCAW DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
TYLER GEYEN DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3289
DR. CORY VEIGEL DMD
Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
CHAD REILLY PEXTON DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
BRANDON PACE DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
DR. BRADLEY YAMASHITA BEAUFORT DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-4700
SHAYLOR BRINGHURST MD
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862

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 Jake Groberg's NPI number?

The NPI number for Jake Groberg is 1700728391. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Jake Groberg located?

Jake Groberg practices at 465 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 282-6000.

What is Jake Groberg'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 Jake Groberg was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.