Doctor profile · Federal record
Dr. Brett Mooso, D.D.S.,M.S.,P.A.
Orthodontics and Dentofacial Orthopedic Dentist · Idaho Falls, ID
- NPI 1902902208
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1410 E 17Th St
Idaho Falls, ID 834046269
(208) 522-4552
fax (208) 522-4555
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- July 9, 2007
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Idaho #D-3029-OR
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902902208. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,291
Transactions
15
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| World Class Technology Corporation | 15 | $1,290.77 |
By nature of payment
Frequently asked questions
What is Dr. Brett Mooso's medical specialty?
Dr. Brett Mooso practices Orthodontics and Dentofacial Orthopedic Dentist in Idaho Falls, ID.
Where does Dr. Brett Mooso practice?
Dr. Brett Mooso practices at 1410 E 17Th St, Idaho Falls, ID 834046269. Office phone: 2085224552.
What is Dr. Brett Mooso's NPI?
Dr. Brett Mooso's National Provider Identifier (NPI) is 1902902208, issued by NPPES.