P Praxis·MD
● Active Type 2 · Organization

Darin R. Mooso

Dentist·Caldwell, ID· NPI 1184160566 · Enumerated 2017 · 9 years on NPI
Darin R. Mooso is 1 of 591 dentist organizations in Idaho.
NPI age
9 years
Enumerated 2017-01-10
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mooso
President
Last NPPES update
2017-01-10
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
9 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-01Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
4105 Clock Tower Ave
Caldwell, ID 836075006
📞 2084550033fax 2084558535
Mailing address
4105 Clock Tower Ave
Caldwell, ID 836075006
📞 2084550033fax 2084558535

Authorized official

Darin R Mooso, DDS
President
📞 2084550033

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    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...
    ID license #D-3237 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (ID) 9202299

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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