P Praxis·MD
● Active Type 2 · Organization

Bret E. Mooso D.d.s.,m.s.

Dentist·Idaho Falls, ID· NPI 1598053712 · Enumerated 2011 · 14 years on NPI
Bret E. Mooso D.d.s.,m.s. is 1 of 135 dentist organizations in Idaho.
NPI age
14 years
Enumerated 2011-07-21
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mooso
Doctor
Last NPPES update
2011-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 135 active dentist providers in Idaho.

NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1580 Elk Creek Drive
Idaho Falls, ID 834046269
📞 2085224552
Mailing address
1580 Elk Creek Drive
Idaho Falls, ID 834046269
📞 2085224552

Authorized official

Bret E. Mooso, D.D.S., M.S.
Doctor
📞 2085224552

Specialties

  • Dentist Primary
    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...
    taxonomy 1223X0400X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Mooso Orthodontics
    Type code 5 recorded 2011-07-21

Practice context

Single-site organization. Only one practice location on file.

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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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