Foothills Dental Care, PLLC
NPI 1205175668ActiveOrganization· Dentist· Idaho Falls, ID
Dentist in Idaho Falls, Idaho, registered in NPPES in February 2013, part of Foothills Dental Care, PLLC. The authorized official on file is Melissa K. Raichart, Insurance Coordinator.
Overview
| NPI | 1205175668 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Foothills Dental Care, PLLC |
| NPI issued | Feb 5, 2013 |
| Last updated in NPPES | Feb 6, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D3971 | ID |
| Dentist | 122300000X | D3464 | ID |
| Dentist | 122300000X | D4302 | ID |
| Dentist | 122300000X | D1719 | ID |
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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