NPI age
2 years
Enumerated 2024-03-08
● Active Type 2 · Organization
Parkcenter Smiles Llc
Parkcenter Smiles Llc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mooney
Owner
Last NPPES update
2024-03-08
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
2 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-03Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
600 E Riverpark Ln Ste 140
Boise, ID 837066509
Mailing address
2842 S Holden Ln
Boise, ID 837065032
Authorized official
Roseann Mooney, DMD
Owner
📞 2088415038
Individual providers at this organization
1 individual provider on file at this primary practice address.
- John Wold, DDS Dentist NPI 1114086089
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.