Teton Plastic Surgery
NPI 1154549616 · Plastic and Reconstructive Surgery Physician · Idaho Falls, ID
Teton Plastic Surgery is a Plastic and Reconstructive Surgery Physician organization in Idaho Falls, ID (NPI 1154549616).
Provider details
- NPI number
- 1154549616
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Martin, Office Manager(208) 552-1406
- License
- M-8270 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2023-03-07
Frequently asked questions
- What is Teton Plastic Surgery's NPI number?
- Teton Plastic Surgery's National Provider Identifier (NPI) is 1154549616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teton Plastic Surgery?
- Teton Plastic Surgery is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Teton Plastic Surgery located?
- Teton Plastic Surgery's practice location on file with NPPES is 2860 Channing Way, Idaho Falls, ID 83404-7531.
- What is Teton Plastic Surgery's phone number?
- The practice phone number listed in the NPPES registry for Teton Plastic Surgery is (208) 552-1406.
- Who is the authorized official for Teton Plastic Surgery?
- The authorized official listed on Teton Plastic Surgery's NPPES record is Jennifer Martin, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teton Plastic Surgery's NPI active?
- Yes — Teton Plastic Surgery's NPI (1154549616) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.