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IKDO STAR LLC
NPI 1861954026
Dentist - Pediatric Dentistry in Star, ID

Active since April 04, 2019
12190 W EVELY PINES LN, STAR, ID 83669(208) 884-4466 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2020, Apr 4, 2019 (2 updates tracked since 2019).

About Ikdo Star Llc NPPES

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

IKDO STAR LLC (NPI 1861954026) is a healthcare organization registered as a pediatric dentistry in Star, Idaho and active in the NPI registry since April 2019. The organization lists Michael D Payne, Owner, as its authorized official.

NPPES Registry Identity

NPI1861954026
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameIKDO STAR LLC
Location Address12190 W EVELY PINES LNStar, ID 83669-6126
Mailing Address3289 N Towerbridge WayMeridian, ID 83646-8347
Phone(208) 884-4466
Organization SubpartNo
Authorized OfficialMichael D PayneOwner · (208) 884-4466
Enumeration DateApril 4, 2019
Last NPPES UpdateMay 8, 20202 updates tracked since enumeration
NPPES CertifiedMay 8, 2020
✔ NPI 1861954026 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
12190 W EVELY PINES LN, Star, ID 83669
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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

Other Providers at the Same Location NPPES

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

JAKOB RODGERS DDS
Dentist
12190 W EVELY PINES LN
STAR, ID 83669
Ada County (208) 996-3003

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 Star LLC's NPI number?

The NPI number for Ikdo Star LLC is 1861954026. It was assigned to this organization in the NPPES registry on April 4, 2019.

Where is Ikdo Star LLC located?

Ikdo Star LLC is located at 12190 W Evely Pines Ln, Star, ID 83669. The listed phone number is (208) 884-4466.

What is Ikdo Star 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 Star LLC was last updated on May 8, 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.