Active NPI
Crookston Dental PLLC
- Dental Clinic/Center
- Meridian, ID
National Provider Identifier
1982508727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CROOKSTON DENTAL PLLC
- Practice address
- 2015 N Locust Grove Rd
Meridian, ID 83646-1827 - Phone
- (208) 377-3206
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devon Merrill Crookston, DDS
- Title
- Dentist/Owner
- Phone
- (208) 899-6592
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
2015 N Locust Grove Rd
Meridian, ID 83646-1827
Mailing address
2015 N Locust Grove Rd
Meridian, ID 83646-1827
Phone (208) 377-3206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Grand Junction, CO
- NPI 1801464730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1982508727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 N LOCUST GROVE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461827",
"telephone_number": "208-377-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 N LOCUST GROVE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461827",
"telephone_number": "208-377-3206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROOKSTON DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-05",
"status": "A",
"authorized_official_last_name": "CROOKSTON",
"authorized_official_first_name": "DEVON",
"authorized_official_middle_name": "MERRILL",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "208-899-6592",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.