P Praxis·MD
● Active Type 2 · Organization

Idaho Pediatric Dentistry

Special Hospital·Nampa, ID· NPI 1659530103 · Enumerated 2008 · 17 years on NPI
Idaho Pediatric Dentistry is 1 of 3 special hospital organizations in Idaho.
NPI age
17 years
Enumerated 2008-06-09
Primary specialty
Special Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nelson
Office Manager
Last NPPES update
2008-06-09
Source: monthly bulk 2026-05

How this organization compares

Across 3 active special hospital providers in Idaho.

NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
4401 E Flamingo Ave
Nampa, ID 836873113
📞 2084615459
Mailing address
4401 E Flamingo Ave
Nampa, ID 836873113
📞 2084615459

Authorized official

Kathi A Nelson
Office Manager
📞 2084615459

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Special Hospital Primary
    A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
    ID license #D3936PD taxonomy 284300000X

Identifiers

TypeValueNotes
05 (ID) 805011445

Practice context

Multi-provider organization. 2 individual providers 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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