R Eric Barney, DDS
Individual provider Active NPI Dentist · Boise, ID
NPI 1124078621 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124078621
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D3210 (ID)
- Practice address
- 13219 W Persimmon LN
Boise, ID 83713-1986 - Phone
- (208) 373-0018
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3210 | ID | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookdale Dental, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D3210 | ID | Yes |
Addresses
Primary practice location
13219 W Persimmon LN
Boise, ID 83713-1986
Mailing address
13219 W Persimmon LN
Boise, ID 83713-1986
Phone (208) 373-0018
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D3210 | Other | ID | STATE LICENSE # |
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.