TETON OMS
NPI 1336036474
Oral & Maxillofacial Surgery in Idaho Falls, ID
NPI Status: Active since June 20, 2025
Contact Information
780 BRIDGEPORT DR
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 932-4600
Fax: (208) 932-4601
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Oral & Maxillofacial Surgery
About TETON OMS
This page provides the complete NPI Profile along with additional information for Teton Oms, a provider established in Idaho Falls, Idaho operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1336036474 assigned on June 2025. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Makell Clay (Practice Manager)
- NPI
- 1336036474
- Provider Name
- TETON OMS
- Entity Type
- Organization
- Location Address
- 780 BRIDGEPORT DR IDAHO FALLS, ID 83402
- Location Phone
- (208) 932-4600
- Location Fax
- (208) 932-4601
- Mailing Address
- 780 BRIDGEPORT DR IDAHO FALLS, ID 83402
- Mailing Phone
- (208) 932-4600
- Mailing Fax
- (208) 932-4601
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-20-2025
- Last Update Date
- 05-15-2026
- Code Navigator
Location Map
Secondary Locations
- 360 E Main St
Rexburg, ID 83440
(208) 932-4600
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QS0112X | Ambulatory Health Care Facilities | Clinic/Center |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336036474, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336036474, enumerated as an "organization" on June 20, 2025.
The provider is located at 780 BRIDGEPORT DR IDAHO FALLS, ID 83402 and the phone number is (208) 932-4600.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
