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IDAHO ORAL & MAXILLOFACIAL SURGERY, PC
NPI 1588868442
Dentist - Oral and Maxillofacial Pathology in Twin Falls, ID

Active since June 13, 2007
590 FALLS AVE, TWIN FALLS, ID 83301(208) 733-1182(208) 733-3341 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Idaho Oral & Maxillofacial Surgery, Pc NPPES

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

IDAHO ORAL & MAXILLOFACIAL SURGERY, PC (NPI 1588868442) is a healthcare organization registered as an oral and maxillofacial pathology in Twin Falls, Idaho and active in the NPI registry since June 2007. The organization lists Timothy Ted Hopkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1588868442
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameIDAHO ORAL & MAXILLOFACIAL SURGERY, PC
Location Address590 FALLS AVETwin Falls, ID 83301-3314
Mailing Address590 Falls AveTwin Falls, ID 83301-3314 · (208) 733-1182 · Fax (208) 733-3341
Phone(208) 733-1182
Fax(208) 733-3341
Organization SubpartNo
Authorized OfficialTimothy Ted HopkinsOwner · (208) 733-1182
Enumeration DateJune 13, 2007
Last NPPES UpdateJuly 25, 2014
✔ NPI 1588868442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in ID · D3944-OS
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
590 FALLS AVE, Twin Falls, ID 83301
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idaho Oral & Maxillofacial Surgery, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Idaho Oral & Maxillofacial Surgery, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jared Bitner, DDS
Oral Surgery
NPI 1023679149
590 FALLS AVE
Twin Falls, ID 83301
(208) 733-1182
✔ PECOS✔ Accepts MedicareSame address
Timothy Hopkins, DDS, MS
Oral Surgery
NPI 1376689646
590 FALLS AVE
Twin Falls, ID 83301
(208) 733-1182
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Idaho Oral & Maxillofacial Surgery, PC's NPI number?

The NPI number for Idaho Oral & Maxillofacial Surgery, PC is 1588868442. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Idaho Oral & Maxillofacial Surgery, PC located?

Idaho Oral & Maxillofacial Surgery, PC is located at 590 Falls Ave, Twin Falls, ID 83301. The listed phone number is (208) 733-1182.

What is Idaho Oral & Maxillofacial Surgery, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Idaho Oral & Maxillofacial Surgery, PC enrolled in Medicare?

Yes. Idaho Oral & Maxillofacial Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Oral & Maxillofacial Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Idaho Oral & Maxillofacial Surgery, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Idaho Oral & Maxillofacial Surgery, PC was last updated on July 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.