P Praxis·MD
● Active Type 2 · Organization

Jmj Practice Holdings, Llc

Dentist·Nampa, ID· NPI 1548905250 · Enumerated 2022 · 4 years on NPI
Jmj Practice Holdings, Llc is 1 of 114 dentist organizations in Idaho.
NPI age
4 years
Enumerated 2022-04-28
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 114 active dentist providers in Idaho.

NPI age
4 years
↓ 9 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
📞 2089963010
Mailing address
914 12th Ave Rd Ste 102
Nampa, ID 836865735
📞 2089963010

Authorized official

Cassandra Wieth
Director Of Payor Relations
📞 6232678121

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

Other names on file (1)

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

  • Idaho Kids Dentistry & Orthodontics
    Type code 3 recorded 2022-04-28

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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