CHERRY LANE KIDS DENTISTRY
NPI 1902325749
Dentist - Pediatric Dentistry in Meridian, ID

Active since September 13, 2017
1558 N CRESTMONT DR STE A, MERIDIAN, ID 83642(208) 580-7091(208) 587-2624 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cherry Lane Kids Dentistry NPPES

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

CHERRY LANE KIDS DENTISTRY (NPI 1902325749) is a healthcare organization registered as a pediatric dentistry in Meridian, Idaho and active in the NPI registry since September 2017. The organization lists Rhonda Marie Elquist, Regional Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1902325749
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHERRY LANE KIDS DENTISTRY
Location Address1558 N CRESTMONT DR STE AMeridian, ID 83642-2194
Mailing Address121 Mountain View DrNampa, ID 83686-8867 · (208) 760-0335
Fax(208) 587-2624
Organization SubpartNo
Authorized OfficialRhonda Marie ElquistRegional Operations Manager · (208) 580-7091
Enumeration DateSeptember 13, 2017
NPI 1902325749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in ID · D-4186-PD
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.
1558 N CRESTMONT DR STE A, Meridian, ID 83642

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.

Dentist (General Practice)
1558 N CRESTMONT DR STE A
MERIDIAN, ID 83642

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 Cherry Lane Kids Dentistry's NPI number?

The NPI number for Cherry Lane Kids Dentistry is 1902325749. It was assigned to this organization in the NPPES registry on September 13, 2017.

Where is Cherry Lane Kids Dentistry located?

Cherry Lane Kids Dentistry is located at 1558 N Crestmont Dr Ste A, Meridian, ID 83642. The listed phone number is (208) 580-7091.

What is Cherry Lane Kids Dentistry'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 Cherry Lane Kids Dentistry was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.