Moulton Periodontics, Pllc

ActiveOrganizationSpecialty not listed
NPI issued: June 6, 2008

Quick Facts

NPI Number
1104085935
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy261QD0000X — Specialty not listed
Phone
(208) 522-6683
StateID

NPI Validation Status: Verified

Valid 10-digit NPI number (1104085935)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 6, 2008)
Data source: CMS NPPES

Provider Overview

MOULTON PERIODONTICS, PLLC is a Healthcare provider based in Idaho Falls, ID who has been registered with CMS since 2008. They are affiliated with Ridge Crest Periodontics. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104085935
Provider TypeOrganization
StatusActive
Enumeration DateJune 6, 2008

Practice Location

CityIdaho Falls
StateID
ZIP Code83404-8280
Phone(208) 522-6683

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code261QD0000X
License StateID

Mailing Address

CityIdaho Falls
StateID
ZIP Code83404-8280
Phone(208) 522-6683
Same as practice location

Hospital & Organization Affiliations

🏢

Ridge Crest Periodontics

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How to Use This NPI

📋

For Insurance Billing

Use NPI 1104085935 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104085935for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104085935 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
25,957
Specialty not listed Providers in the US

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People Also Ask

What is Moulton Periodontics, Pllc's NPI number?
Moulton Periodontics, Pllc's NPI number is 1104085935, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Moulton Periodontics, Pllc's NPI currently active?
Yes, Moulton Periodontics, Pllc's NPI status is Active as of the latest CMS NPPES database updates.
What does Moulton Periodontics, Pllc specialize in?
Moulton Periodontics, Pllc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 261QD0000X.
Where does Moulton Periodontics, Pllc practice?
Moulton Periodontics, Pllc practices in Idaho Falls, ID 83404-8280.
When was Moulton Periodontics, Pllc's NPI issued?
Moulton Periodontics, Pllc's NPI was issued on June 6, 2008.
What is Moulton Periodontics, Pllc's provider type?
Moulton Periodontics, Pllc is registered as an Organization under CMS NPI Type 2.