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NPI · 1154549616 · NPPES-sourced

Teton Plastic Surgery

ActivePlastic and Reconstructive Surgery Physician
NPI Number
1154549616
Type 2 · Organisation
Contact
(208) 552-1406
License ID · M-8270
Last Updated
Enumerated
Primary practice addressID · 83404-7531
2860 Channing Way, Suite 213Idaho Falls, ID 83404-7531
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About this NPIWhat this record shows.

NPI 1154549616 is registered to Teton Plastic Surgery, a healthcare organisation classified as "Plastic and Reconstructive Surgery Physician" and located at 2860 Channing Way, Suite 213 in Idaho Falls, Idaho. The organisation's authorised official is Jennifer Martin. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • M-8270ID· Issued by ID MEDICAL LICENSE
  • 5959620-1205UT· Issued by UT MEDICAL LICENSE
  • 5959620-8905UT· Issued by UT ST BOARD OF PHARMACY
  • 6687AWY· Issued by WY MEDICAL LICENSE
  • CS9201ID· Issued by ID ST BOARD OF PHARMACY
  • 58MKM02WY· Issued by WY ST BOARD OF PHARMACY
  • 04232007480947ID· Issued by DR.MOORE NPI TRCKNG#

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Teton Plastic Surgery accepts. To confirm in-network status with your specific health plan, contact Teton Plastic Surgery directly at (208) 552-1406.

Frequently asked

Yes. NPI 1154549616 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Plastic and Reconstructive Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 552-1406.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Teton Plastic Surgery is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy2086S0122X
Last updated
Enumerated
StatusActive
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