Idaho Dental Professionals, P.C.
NPI 1487230009ActiveOrganization· Dentist, General Practice· Boise, ID
Dentist, General Practice in Boise, Idaho, registered in NPPES in March 2021, part of Idaho Dental Professionals, P.C. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.
Overview
| NPI | 1487230009 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Idaho Dental Professionals, P.C. |
| NPI issued | Mar 23, 2021 |
| Last updated in NPPES | Mar 23, 2021 |
| Certified by provider | Mar 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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