Jmj Practice Holdings, LLC
NPI 1033854740ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Nampa, ID
Dentist, Orthodontics and Dentofacial Orthopedics in Nampa, Idaho, registered in NPPES in April 2022, part of Jmj Holding LLC. The authorized official on file is Cassandra Wieth, Director Of Payor Relations.
Overview
| NPI | 1033854740 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Jmj Holding LLC |
| NPI issued | Apr 28, 2022 |
| Last updated in NPPES | Dec 18, 2025 |
| Certified by provider | Dec 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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