OrganizationActive
Ikdo South Meridian LLC
NPI 1174145684 · Pediatric Dentistry · Meridian, ID
Ikdo South Meridian LLC is a Pediatric Dentistry organization in Meridian, ID (NPI 1174145684).
Provider details
- NPI number
- 1174145684
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Payne, Owner(208) 884-4466
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3839 E Amity Rd
Meridian, ID 83642
Phone: (208) 999-4999
Street-level locationGet directions
Mailing address
3289 N Towerbridge Way
Meridian, ID 83646-8347
Registry dates
- Enumerated
- 2020-05-07
- Last updated
- 2020-05-07
- Certified
- 2020-05-07
Frequently asked questions
- What is Ikdo South Meridian LLC's NPI number?
- Ikdo South Meridian LLC's National Provider Identifier (NPI) is 1174145684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ikdo South Meridian LLC?
- Ikdo South Meridian LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Ikdo South Meridian LLC located?
- Ikdo South Meridian LLC's practice location on file with NPPES is 3839 E Amity Rd, Meridian, ID 83642.
- What is Ikdo South Meridian LLC's phone number?
- The practice phone number listed in the NPPES registry for Ikdo South Meridian LLC is (208) 999-4999.
- Who is the authorized official for Ikdo South Meridian LLC?
- The authorized official listed on Ikdo South Meridian LLC's NPPES record is Michael Payne, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ikdo South Meridian LLC's NPI active?
- Yes — Ikdo South Meridian LLC's NPI (1174145684) is active in the NPPES registry as of the last update on 2020-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.