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Idaho State University

General Practice Dentistry in Pocatello, ID · enumerated 2007 · authorized official Brian Crawford, Program Director Iagd.

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

National Provider Identifier

1851516256

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Registry record

Entity type Organization (Type 2)
Legal business name Idaho State University
Other name <Unavail>
Parent organization Idaho State University
Practice address 465 Memorial Dr., Pocatello, ID, 83209
Phone (208) 282-6000
Fax (208) 282-4950
Enumeration date Apr 13, 2007
Last updated in NPPES Mar 24, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Brian Crawford
Title Program Director Iagd
Phone (208) 282-5275

Other identifiers

Identifier Type State Issuer
181764 Medicaid ID -
8057101 Medicaid ID -

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Idaho State University?
Idaho State University is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-24.