IDAHO PEDIATRIC DENTISTRY
NPI 1659530103
Special Hospital in Nampa, ID

Active since June 09, 2008
4401 E FLAMINGO AVE, NAMPA, ID 83687(208) 461-5459 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Pediatric Dentistry NPPES

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

IDAHO PEDIATRIC DENTISTRY (NPI 1659530103) is a healthcare organization registered as a special hospital in Nampa, Idaho and active in the NPI registry since June 2008. The organization lists Kathi A Nelson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1659530103
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameIDAHO PEDIATRIC DENTISTRY
Location Address4401 E FLAMINGO AVENampa, ID 83687-3113
Mailing Address4401 E Flamingo AveNampa, ID 83687-3113 · (208) 461-5459
Organization SubpartNo
Authorized OfficialKathi A NelsonOffice Manager · (208) 461-5459
Enumeration DateJune 9, 2008
NPI 1659530103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
License Licensed in ID · D3936PD
Definition

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.

4401 E FLAMINGO AVE, Nampa, ID 83687

Other Identifiers 1

Medicaid805011445ID

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4401 E FLAMINGO AVE
NAMPA, ID 83687
Dentist (General Practice)
4401 E FLAMINGO AVE
NAMPA, ID 83687
Dentist (Pediatric Dentistry)
4401 E FLAMINGO AVE
NAMPA, ID 83687

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 Idaho Pediatric Dentistry's NPI number?

The NPI number for Idaho Pediatric Dentistry is 1659530103. It was assigned to this organization in the NPPES registry on June 9, 2008.

Where is Idaho Pediatric Dentistry located?

Idaho Pediatric Dentistry is located at 4401 E Flamingo Ave, Nampa, ID 83687. The listed phone number is (208) 461-5459.

What is Idaho Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

When was this NPI record last updated?

The NPPES record for Idaho Pediatric Dentistry was last updated on June 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.