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THEODORE JAMES DDS
NPI 1841726593
Dentist - Oral and Maxillofacial Surgery in Ammon, ID

Active since May 01, 2017Opted out of Medicare · through Apr 2, 2028
2677 E 17TH ST STE 600, AMMON, ID 83406(208) 705-9652 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2021, Jun 22, 2021, May 31, 2021 (3 updates tracked since 2021).

About Theodore James Dds NPPES

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

THEODORE JAMES DDS (NPI 1841726593) is an individual oral and maxillofacial surgery provider in Ammon, Idaho, licensed in Idaho (D-5258) and active in the NPI registry since May 2017. He has opted out of Medicare through April 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841726593
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTHEODORE JAMESCredential: DDS
Location Address2677 E 17TH ST STE 600Ammon, ID 83406-6619
Mailing Address2677 E 17th St Ste 600Ammon, ID 83406-6619 · (208) 705-9652
Phone(208) 705-9652
Sole ProprietorNo
Enumeration DateMay 1, 2017
Last NPPES UpdateJanuary 12, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1841726593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in ID · D-5258✔ Licensed in PA · DS041404
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2677 E 17TH ST STE 600, Ammon, ID 83406
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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, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Theodore James Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2026 through April 2, 2028.

Opt-Out Effective DateApril 2, 2026
Opt-Out In Effect ThroughApril 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83406 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

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

JAMES ORAL AND MAXILLOFACIAL SURGERY PLLC
Dentist (Oral and Maxillofacial Surgery)
2677 E 17TH ST STE 600
AMMON, ID 83406
Bonneville County (208) 705-9652

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 Theodore James's NPI number?

The NPI number for Theodore James is 1841726593. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Theodore James located?

Theodore James practices at 2677 E 17th St Ste 600, Ammon, ID 83406. The listed phone number is (208) 705-9652.

What is Theodore James's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Theodore James enrolled in Medicare?

No. Theodore James has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Theodore James accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Theodore James 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 Theodore James was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.