Eagle Rock Dental Care PLLC
NPI 1326395385ActiveOrganization· Dentist, General Practice· Idaho Falls, ID
Dentist, General Practice in Idaho Falls, Idaho, registered in NPPES in August 2012, part of Eagle Rock Dental Care PLLC. The authorized official on file is Trudee L. Chapple, Office Administrator.
Overview
| NPI | 1326395385 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Eagle Rock Dental Care PLLC |
| NPI issued | Aug 9, 2012 |
| Last updated in NPPES | Aug 24, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D3063 | ID |
| Dentist, General Practice | 1223G0001X | D4138 | ID |
| Dentist, General Practice | 1223G0001X | D1890 | ID |
| Dentist, General Practice | 1223G0001X | D4036 | ID |
| Dentist, General Practice | 1223G0001X | D4369 | ID |
| Dentist, General Practice | 1223G0001X | D1608 | 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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