DR. BRETT EDDIS MOOSO D.D.S.,M.S.,P.A.
NPI 1902902208
Dentist - Orthodontics and Dentofacial Orthopedics in Idaho Falls, ID

Active since September 15, 2006
1410 E 17TH ST, IDAHO FALLS, ID 83404(208) 522-4552(208) 522-4555 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brett Eddis Mooso D.d.s.,m.s.,p.a. NPPES

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

DR. BRETT EDDIS MOOSO D.D.S.,M.S.,P.A. (NPI 1902902208) is an individual orthodontics and dentofacial orthopedics provider in Idaho Falls, Idaho, licensed in Idaho (D-3029-OR) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1902902208
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. BRETT EDDIS MOOSOCredential: D.D.S.,M.S.,P.A.
Location Address1410 E 17TH STIdaho Falls, ID 83404-6269
Mailing Address1410 E 17th StIdaho Falls, ID 83404-6269 · (208) 522-4552 · Fax (208) 522-4555
Fax(208) 522-4555
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1902902208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in ID · D-3029-OR
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1410 E 17TH ST, Idaho Falls, ID 83404

Other Identifiers 2

Other000010012359ID · Blue Shield Provide Numbe
Other6083ID · Blue Cross Provider Numbe

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Chiropractor
1410 E 17TH ST
IDAHO FALLS, ID 83404
Chiropractor
1410 E 17TH ST
IDAHO FALLS, ID 83404

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 Brett Mooso's NPI number?

The NPI number for Brett Mooso is 1902902208. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Brett Mooso located?

Brett Mooso practices at 1410 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 522-4552.

What is Brett Mooso's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Brett Mooso accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Brett Mooso 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 Brett Mooso was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.