1. Home
  2. Directory
  3. Idaho
  4. Meridian
  5. Dentist
  6. NPI Profile

IKDO SOUTH MERIDIAN LLC
NPI 1174145684
Dentist - Pediatric Dentistry in Meridian, ID

Active since May 07, 2020
3839 E AMITY RD, MERIDIAN, ID 83642(208) 999-4999 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ikdo South Meridian Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IKDO SOUTH MERIDIAN LLC (NPI 1174145684) is a healthcare organization registered as a pediatric dentistry in Meridian, Idaho and active in the NPI registry since May 2020. The organization lists Michael D Payne, Owner, as its authorized official.

NPPES Registry Identity

NPI1174145684
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameIKDO SOUTH MERIDIAN LLC
Location Address3839 E AMITY RDMeridian, ID 83642
Mailing Address3289 N Towerbridge WayMeridian, ID 83646-8347 · (208) 884-4466
Phone(208) 999-4999
Organization SubpartNo
Authorized OfficialMichael D PayneOwner · (208) 884-4466
Enumeration DateMay 7, 2020
NPPES CertifiedMay 7, 2020
✔ NPI 1174145684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
3839 E AMITY RD, Meridian, ID 83642
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ikdo South Meridian LLC's NPI number?

The NPI number for Ikdo South Meridian LLC is 1174145684. It was assigned to this organization in the NPPES registry on May 7, 2020.

Where is Ikdo South Meridian LLC located?

Ikdo South Meridian LLC is located at 3839 E Amity Rd, Meridian, ID 83642. The listed phone number is (208) 999-4999.

What is Ikdo South Meridian LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Ikdo South Meridian LLC was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.