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TETON PLASTIC SURGERY
NPI 1154549616
Surgery - Plastic and Reconstructive Surgery in Idaho Falls, ID

Active since April 23, 2007
2860 CHANNING WAY, SUITE 213, IDAHO FALLS, ID 83404(208) 552-1406(208) 552-1416 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Teton Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TETON PLASTIC SURGERY (NPI 1154549616) is a healthcare organization registered as a plastic and reconstructive surgery in Idaho Falls, Idaho and active in the NPI registry since April 2007. The organization lists Jennifer Martin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154549616
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameTETON PLASTIC SURGERY
Location Address2860 CHANNING WAY, SUITE 213Idaho Falls, ID 83404-7531
Mailing AddressPo Box 1769Idaho Falls, ID 83403-1769 · (208) 552-1406 · Fax (208) 552-1416
Phone(208) 552-1406
Fax(208) 552-1416
Organization SubpartNo
Authorized OfficialJennifer MartinOffice Manager · (208) 552-1406
Enumeration DateApril 23, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1154549616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in ID · M-8270
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2860 CHANNING WAY, Idaho Falls, ID 83404
Open in Google Maps ↗

Other Identifiers 7

OtherM-8270ID · Id Medical License
Other5959620-1205UT · Ut Medical License
Other5959620-8905UT · Ut St Board Of Pharmacy
Other6687AWY · Wy Medical License
OtherCS9201ID · Id St Board Of Pharmacy
Other58MKM02WY · Wy St Board Of Pharmacy
Other04232007480947ID · Dr.moore Npi Trckng#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON JENKINS DO
Pediatrics (Neonatal-Perinatal Medicine)
2860 CHANNING WAY, SUITE 100
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4575
EAST FALLS PLASTIC SURGERY LLC
Plastic Surgery
2860 CHANNING WAY, SUITE 114A
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4565
OMNIFLIGHT HELICOPTERS, INC.
Ambulance (Air Transport)
2860 CHANNING WAY, SUITE 206
IDAHO FALLS, ID 83404
Bonneville County (800) 760-1583
R.K. ARBON, M.D., P.A.
Family Medicine
2860 CHANNING WAY, SUITE 116
IDAHO FALLS, ID 83404
Bonneville County (208) 529-0575
BRANDI JO SMITH APRN-CNP
Nurse Practitioner (Family)
2860 CHANNING WAY, SUITE 115
IDAHO FALLS, ID 83404
Bonneville County (208) 529-7283
EASTERN IDAHO SPINE CENTER
Rehabilitation Practitioner
2860 CHANNING WAY, STE 112
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4343
MRS. EMILY ANN COWLES R.D.,L.D.
Dietitian, Registered
2860 CHANNING WAY, SUITE 115
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6127
WESTERN CENTER FOR REHABILITATION
Rehabilitation Practitioner
2860 CHANNING WAY, 114
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teton Plastic Surgery's NPI number?

The NPI number for Teton Plastic Surgery is 1154549616. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Teton Plastic Surgery located?

Teton Plastic Surgery is located at 2860 Channing Way Suite 213, Idaho Falls, ID 83404. The listed phone number is (208) 552-1406.

What is Teton Plastic Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Teton Plastic Surgery was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.