P Praxis·MD
● Active Type 2 · Organization

Treasure Valley Pediatric Dentistry

Dentist·Boise, ID· NPI 1568902286 · Enumerated 2017 · 9 years on NPI
Treasure Valley Pediatric Dentistry is 1 of 114 dentist organizations in Idaho.
NPI age
9 years
Enumerated 2017-02-28
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rogers
Pediatric Dentist
Last NPPES update
2017-02-28
Source: monthly bulk 2026-05

How this organization compares

Across 114 active dentist providers in Idaho.

NPI age
9 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-02Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
1564 S Timesquare Ln
Boise, ID 837098266
📞 2083768873fax 2083778875
Mailing address
1564 S Timesquare Ln
Boise, ID 837098266
📞 2083768873fax 2083778875

Authorized official

Roy Rogers, DDS
Pediatric Dentist
📞 2083768873

Individual providers at this organization

1 individual provider on file at this primary practice address.

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.
    ID license #D3725-PD taxonomy 1223P0221X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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