Community Council of Idaho Inc
NPI 1164101754ActiveOrganization· Dentist· Idaho Falls, ID
Dentist in Idaho Falls, Idaho, registered in NPPES in July 2023. The authorized official on file is Arnold Cantu, Clinic Administrator.
Overview
| NPI | 1164101754 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2023 |
| Last updated in NPPES | Jul 16, 2025 |
| Certified by provider | Jul 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Dentist, Dental Public Health | 1223D0001X | — | — |
| Dentist, General Practice | 1223G0001X | — | — |
| Dentist, Oral and Maxillofacial Radiology | 1223X0008X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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