Megan Peterson Wilde, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5647 Issued in ID

Practice address

16145 N High Desert St
Nampa, ID 83687-5510

Phone

(855) 433-6825

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Megan Nicole Peterson Other name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1023852845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16145 N HIGH DESERT ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875510",
            "telephone_number": "801-870-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16145 N HIGH DESERT ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875510",
            "telephone_number": "855-433-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "MEGAN",
        "middle_name": "PETERSON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "PETERSON",
            "middle_name": "NICOLE",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ralene Wiberg, MD
• Amaisha Wiebe, M.S. CCC-SLP
• Ladonna Wiedenman, BS
• Joseph Gregory Wilbanks, MD
• Heather Ann Wilcke, NP-C
• Kenneth Wilhelm Jr.
• Alan Williams, PT
• Alba Rosa Williams
• Eric Roy Williams, DPT
• Jamie L Williams, LMSW

• General Practice Dentistry in Nampa, ID
• Providers in Nampa, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.