NPI age
2 years
Enumerated 2023-12-12
● Active Type 2 · Organization
Leavitt Orthodontics
Leavitt Orthodontics is 1 of 135 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Leavitt
Owner/dentist
Last NPPES update
2023-12-12
Source: monthly bulk 2026-05
How this organization compares
Across 135 active dentist providers in Idaho.
NPI age
2 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-12Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1455 Bench Rd Ste A
Pocatello, ID 832015084
Mailing address
1455 Bench Rd Ste A
Pocatello, ID 832015084
Authorized official
Tyler Leavitt, DDS, MSD
Owner/dentist
📞 2082405219
Specialties
-
Dentist PrimaryThat 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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.