P Praxis·MD
● Active Type 2 · Organization

Ikdo Fruitland Llc

Dentist·Fruitland, ID· NPI 1184108706 · Enumerated 2018 · 7 years on NPI
Ikdo Fruitland Llc is 1 of 114 dentist organizations in Idaho.
NPI age
7 years
Enumerated 2018-09-19
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Payne
President
Last NPPES update
2019-04-16
Source: monthly bulk 2026-05

How this organization compares

Across 114 active dentist providers in Idaho.

NPI age
7 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-09Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1619 N Whitley Dr
Fruitland, ID 836192162
📞 2084524444fax 2084523322
Mailing address
3289 N Towerbridge Way
Meridian, ID 836468347
📞 2088844466

Authorized official

Michael D Payne, DMD
President
📞 2083714445

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    taxonomy 1223P0221X
  • Dentist
    That 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...
    taxonomy 1223X0400X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Idaho Kids Dentistry & Orthodontics Fruitland
    Type code 3 recorded 2019-04-16
  • Idaho Kids Dentistry & Orthodontics Fruitland
    Type code 3 recorded 2018-09-19

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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