JACOB TALL
NPI 1265056121
Dentist in Idaho Falls, ID

Q: What is Jacob Tall's NPI number?

The NPI number for Jacob Tall is 1265056121. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Q: What is Jacob Tall's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Tall was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 05, 2020PECOS Enrolled

2460 E 25TH ST, IDAHO FALLS, ID 83404(208) 525-4780 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacob Tall NPPES

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

JACOB TALL (NPI 1265056121) is an individual dentist in Idaho Falls, Idaho, licensed in Idaho (D-5144) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265056121

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJACOB TALL

Location Address2460 E 25TH STIdaho Falls, ID 83404-7549

Mailing Address2460 E 25th StIdaho Falls, ID 83404-7549 · (208) 525-4780

Phone(208) 525-4780

Sole ProprietorYes

Enumeration DateJune 5, 2020

NPPES CertifiedJune 5, 2020

✔ NPI 1265056121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ID · D-5144

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2460 E 25TH ST, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Tall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MARK ASAEL TALL DDS

Dentist (General Practice)

2460 E 25TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 525-4780

CRAIG DARRINGTON DDS PLLC

Dentist (General Practice)

2460 E 25TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 525-4780

MARK A. TALL, P.A.

Dentist

2460 E 25TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 525-4780

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 Jacob Tall's NPI number?

The NPI number for Jacob Tall is 1265056121. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Jacob Tall located?

Jacob Tall practices at 2460 E 25th St, Idaho Falls, ID 83404. The listed phone number is (208) 525-4780.

What is Jacob Tall's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jacob Tall enrolled in Medicare?

Yes. Jacob Tall is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Tall accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacob Tall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Tall was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.