Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heroic Diabetes Incorporated

Organization Pediatrics Physician · NPI 1508742909

Heroic Diabetes Incorporated is a Pediatrics Physician in Meridian, Idaho. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4214 N Ambercreek Ave
Meridian, ID 83646-7019
Phone: (208) 821-4136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1508742909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaren Smith — President · (208) 821-4136
NPI enumeratedAugust 12, 2025
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address1302 Meadowview Ave, Rexburg, ID 83440-5079

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