NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Brett Eddis Mooso, D.D.S.,M.S.,P.A.

Orthodontics and Dentofacial Orthopedics Dentistry in Idaho Falls, ID · enumerated 2006 · practices at Evolution Chiropractic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902902208

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Registry record

Entity type Individual (Type 1)
Name Dr. Brett Eddis Mooso
Credential D.D.S.,M.S.,P.A.
Sex Male
Practice address Idaho Falls, ID, 83404
Fax (208) 522-4555
Enumeration date Sep 15, 2006
Last updated in NPPES Jul 9, 2007

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License D-3029-OR (ID) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
6083 Other ID BLUE CROSS PROVIDER NUMBE
000010012359 Other ID BLUE SHIELD PROVIDE NUMBE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Brett Mooso's NPI record?
Cross-check NPI 1902902208 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1902902208 active?
Yes, as of the latest NPPES snapshot, NPI 1902902208 is active (record last updated 2007-07-09).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.