Backcountry Dental Docs, LLC
Backcountry Dental Docs, LLC is a healthcare organization registered as Dentist in Kellogg, ID, holding Type 2 (organization) NPI 1235790510 since 2019. The authorized official on file is Hillary Berry, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235790510 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Backcountry Dental Docs, LLC |
| Practice address | 109 MCKINLEY AVE, Kellogg, ID, 83837 |
| Phone | 2087840545 |
| Enumeration date | 2019-06-26 |
| Last updated in NPPES | 2022-10-03 |
Authorized official
| Name | Hillary Berry |
|---|---|
| Title | Manager |
| Phone | 4254091655 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Secondary | — | — |
| 122300000X | Dentist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21014 | Medicaid | ID | — |
Copy-ready billing details
Provider: Backcountry Dental Docs, LLC NPI: 1235790510 Taxonomy: 122300000X (Dentist) Address: 109 MCKINLEY AVE, Kellogg, ID, 83837
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396800033 | Hillary Berry | Individual | General Practice Dentistry | Kellogg, ID |
| 1104682301 | Dakota Baker | Individual | General Practice Dentistry | Kellogg, ID |
| 1184512543 | Dakota Baker DDS Plls | Organization | General Practice Dentistry | Kellogg, ID |
Verify this record
Cross-check NPI 1235790510 against the authoritative CMS record: view Backcountry Dental Docs, LLC 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
What is the NPI number for Backcountry Dental Docs, LLC?
Who is the authorized official for Backcountry Dental Docs, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-10-03.