NPI age
4 years
Enumerated 2022-04-28
● Active Type 2 · Organization
Subpart
Jmj Practice Holdings, Llc
Jmj Practice Holdings, Llc is 1 of 135 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wieth
Director Of Payor Relations
Last NPPES update
2025-12-18
Source: monthly bulk 2026-05
How this organization compares
Across 135 active dentist providers in Idaho.
NPI age
4 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-04Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
914 12th Ave Rd Ste 102
Nampa, ID 836865735
Mailing address
914 12th Ave Rd Ste 102
Nampa, ID 836865735
Authorized official
Cassandra Wieth
Director Of Payor Relations
📞 6232678121
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Idaho Kids Dentistry & Orthodontics
Practice context
Single-site organization. Only one practice location on file.
Subpart of Jmj Holding Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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