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Riverside Dental PC

Dentist in Blackfoot, ID · enumerated 2006 · authorized official Bradford Harper, Owner/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053321885

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Registry record

Entity type Organization (Type 2)
Legal business name Riverside Dental PC
Practice address 1120 Parkway Dr, Blackfoot, ID, 83221
Phone (208) 785-0878
Fax (208) 785-0878
Enumeration date Aug 8, 2006
Last updated in NPPES Jul 30, 2008

Taxonomy & classification

122300000X Dentist Dental Providers · License D3225 (ID) Primary

Authorized official

Name Bradford Harper
Title Owner/President
Phone (208) 785-0878

Other identifiers

Identifier Type State Issuer
002801200 Medicaid ID -
518546704002 Medicaid UT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Riverside Dental PC?
NPPES lists Bradford Harper (Owner/President) as the authorized official for this organization.
What is the NPI number for Riverside Dental PC?
The NPI for Riverside Dental PC is 1053321885, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-30.