Active NPI
Richard D Stoker, D.M.D.
- Dentist
- Idaho Falls, ID
National Provider Identifier
1376718460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D4417
- Practice address
- 1520 Elk Creek Dr
Idaho Falls, ID 83404-8322 - Phone
- (208) 522-4700
- Fax
- (208) 522-5416
- NPI assigned
- Apr 29, 2008
- Last updated
- Jan 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D4417 | ID | Primary |
Addresses
Primary practice location
1520 Elk Creek Dr
Idaho Falls, ID 83404-8322
Mailing address
1520 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone (208) 522-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154074623 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4417 | ID | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Family Dental | Dentist | Current | Accepting new patients |
| Sunnyside Dental Care LLC | General Practice | Current | Accepting new patients |
| Saddle Rock Family Dentistry PLLC | General Practice | Past | Accepting new patients |
Locations
1520 Elk Creek Dr
Idaho Falls, ID 83404
Phone (208) 522-8854
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Idaho Falls, ID
- NPI 1538973359
-
- General Practice Dentistry
- Idaho Falls, ID
- NPI 1154074623
-
dba Saddle Rock Dental
- General Practice Dentistry
- Centennial, CO
- NPI 1063009223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1376718460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 ELK CREEK DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048322",
"telephone_number": "208-522-4700",
"fax_number": "208-522-5416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 ELK CREEK DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048322",
"telephone_number": "208-522-4700",
"fax_number": "208-522-5416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKER",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D4417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154074623",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.