Treasure Valley Periodontics
NPI 1972968998ActiveOrganization· Dentist, Periodontics· Boise, ID
Dentist, Periodontics in Boise, Idaho, registered in NPPES in December 2015. The authorized official on file is Kathleen A. Beaudry, D.M.D., M.S., Owner.
Overview
| NPI | 1972968998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2015 |
| Last updated in NPPES | Dec 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | D-4444-PE | ID |
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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