NPPES file of Aug 9, 2026

Domenick Fuller, DDS

General Practice Dentistry · Pocatello, ID

Domenick Fuller, DDS is a general practice dentistry with a practice address in Pocatello, Idaho, and NPI 1649063850, issued on May 28, 2025. Check the license (Idaho 9271560, as entered in NPPES) with the Idaho board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1649063850
Name
Domenick Fuller
Credential
DDS
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
9271560 ID
Self-reported in NPPES; status is on the state search
Practice location
921 S 8TH Ave, Pocatello, ID 83209
Phone
(208) 282-3289
Enumerated
May 28, 2025
Record last updated
Jun 4, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest general practice dentistry records → All 754 in Idaho → Look up another NPI →

Also registered at 921 S 8TH Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Indianna BergStudent in an Organized Health Care Education/Training Program1366249534
  2. Baylee BiornAthletic Trainer1578422846
  3. Iris Bowler-SpohnholzMental Health Counselor1609756824
  4. Dillon ClarkStudent in an Organized Health Care Education/Training Program1255290524
  5. Hanna CrozierStudent in an Organized Health Care Education/Training Program1023953486
  6. Cameron DavisAthletic Trainer1861377004

Verify Domenick Fuller in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license 9271560    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Domenick Fuller among 754 general practice dentistry records in Idaho

Domenick Fuller, DDS is one of 754 general practice dentistry records with a practice address in Idaho. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 97% of them.

  • NPI issued2025 · 97% of these records are older, 2% newer
  • In a Medicare fileNo · 70% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2025 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

49 general practice dentistry records list a practice address in Pocatello

They are 49 of the 1,968 NPPES records with a practice address in Pocatello, and 754 general practice dentistry records in Idaho. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 754 in Idaho → Every provider in Pocatello → General Practice Dentistry nationwide →

The 8 general practice dentistry records with the nearest ZIP codes

  1. Leigh Ammon, DMDPocatello, ID 832091174747190
  2. Brian Crawford, DDSPocatello, ID 832091730304437
  3. Connor Fairbanks, DDSPocatello, ID 832091952822686
  4. Jessica Hetcko, DDSPocatello, ID 832091356507925
  5. Daniel Yates, D.M.D.Pocatello, ID 832091972850444
  6. Brent Schvaneveldt, D.M.D.Aberdeen, ID 832101720125230
  7. Ronald Miller, D.D.S.American Falls, ID 832111144393018
  8. Gregory Miller, D.D.S.American Falls, ID 832111356610398

Common questions

What is Domenick Fuller, DDS's NPI number?

Domenick Fuller, DDS's National Provider Identifier (NPI) is 1649063850, issued on May 28, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Domenick Fuller, DDS located?

The NPPES record lists a practice address at 921 S 8TH Ave, Pocatello, ID, 83209. Phone: (208) 282-3289. Providers update this record themselves, so call before visiting.

How can I verify Domenick Fuller, DDS's license?

NPPES lists Idaho license number 9271560, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.