Cherry Lane Dental
Cherry Lane Dental is a healthcare organization registered as Point of Service in Meridian, ID, holding Type 2 (organization) NPI 1083660021 since 2006. The authorized official on file is John Bergloff, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083660021 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cherry Lane Dental |
| Practice address | 1104 W CHERRY LN, Meridian, ID, 83642 |
| Phone | 2088887889 |
| Enumeration date | 2006-05-25 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | John Bergloff |
|---|---|
| Title | President |
| Phone | 2088887889 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305S00000X | Point of Service | Primary | D-3409 | ID |
Copy-ready billing details
Provider: Cherry Lane Dental NPI: 1083660021 Taxonomy: 305S00000X (Point of Service) Address: 1104 W CHERRY LN, Meridian, ID, 83642
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326087180 | John Bergloff | Individual | Dentist | Meridian, ID |
| 1083405831 | Katie Garner | Individual | General Practice Dentistry | Meridian, ID |
Verify this record
Cross-check NPI 1083660021 against the authoritative CMS record: view Cherry Lane Dental on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for Cherry Lane Dental?
What is the NPI number for Cherry Lane Dental?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.