OrganizationActive
Idaho Falls Pediatric Dentistry, PLLC
NPI 1700447596 · Pediatric Dentistry · Ammon, ID
Idaho Falls Pediatric Dentistry, PLLC is a Pediatric Dentistry organization in Ammon, ID (NPI 1700447596).
Provider details
- NPI number
- 1700447596
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kailey Housley, Pediatric Dentist, Owner(208) 419-3622
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 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
3015 Eagle Dr
Ammon, ID 83406-1273
Phone: (208) 419-3622
Fax: (208) 419-3461
Street-level locationGet directions
Mailing address
3387 Merlin Dr
Idaho Falls, ID 83404-7405
Registry dates
- Enumerated
- 2019-06-24
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Idaho Falls Pediatric Dentistry, PLLC's NPI number?
- Idaho Falls Pediatric Dentistry, PLLC's National Provider Identifier (NPI) is 1700447596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Falls Pediatric Dentistry, PLLC?
- Idaho Falls Pediatric Dentistry, PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Idaho Falls Pediatric Dentistry, PLLC located?
- Idaho Falls Pediatric Dentistry, PLLC's practice location on file with NPPES is 3015 Eagle Dr, Ammon, ID 83406-1273.
- What is Idaho Falls Pediatric Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Falls Pediatric Dentistry, PLLC is (208) 419-3622.
- Who is the authorized official for Idaho Falls Pediatric Dentistry, PLLC?
- The authorized official listed on Idaho Falls Pediatric Dentistry, PLLC's NPPES record is Kailey Housley, Pediatric Dentist, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Falls Pediatric Dentistry, PLLC's NPI active?
- Yes — Idaho Falls Pediatric Dentistry, PLLC's NPI (1700447596) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.