P Praxis·MD
● Active Type 1 · Individual

Keira Vale Greene, DDS

Dentist·Hayden, ID· NPI 1164626883 · Enumerated 2007 · 18 years on NPI
Greene is 1 of 4 dentist providers in Hayden and 1 of 591 in Idaho.
NPI age
18 years
Enumerated 2007-06-14
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
18 years
↑ 2 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
8636 N Wayne Dr
Hayden, ID 838355084
📞 3038109296
Mailing address
9323 N Government Way Ste 44
Hayden, ID 838358256
📞 3038109296

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D-4879 taxonomy 122300000X

Identifiers

TypeValueNotes
01 (ID) D-4879 DENTAL LICENSE

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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