Eagle Rock Dental Care Arco PLLC
NPI 1457608671ActiveOrganization· Dentist, General Practice· Arco, ID
Dentist, General Practice in Arco, Idaho, registered in NPPES in August 2012. The authorized official on file is Trudee L. Chapple, Office Administrator.
Overview
| NPI | 1457608671 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2012 |
| Last updated in NPPES | Mar 14, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D1890 | ID |
| Dentist | 122300000X | D-3271 | ID |
| Dentist | 122300000X | D4224 | ID |
| Dentist, General Practice | 1223G0001X | D3063 | ID |
| Dentist, General Practice | 1223G0001X | D4138 | ID |
| Dentist, General Practice | 1223G0001X | D1608 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Dentist, General Practice providers in Arco
- 1588786875