Jared Matthew Bitner, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4861560 Issued in ID

Practice address

590 Falls Ave
Twin Falls, ID 83301-3314

Phone

(208) 733-1182

Fax

(208) 733-3341

NPI assigned

Jun 28, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Virginia Commonwealth Univ School of Dentistry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idaho Oral and Maxillofacial Surgery, PCGroup PAC ID 5890894224, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idaho Oral & Maxillofacial Surgery, PC

  • Oral and Maxillofacial Pathology Dentistry
  • Twin Falls, ID
  • NPI 1588868442
  Medicare reassignment Care Compare group NPD
• Bitner Oms PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Twin Falls, ID
  • NPI 1306684600
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1023679149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013314",
            "telephone_number": "208-733-1182",
            "fax_number": "208-733-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013314",
            "telephone_number": "208-733-1182",
            "fax_number": "208-733-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITNER",
        "first_name": "JARED",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "4861560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee E.W. Birch, PHD, RD, LD
• Ryan Birchell, DPT
• David Perry Bischoff, OTR/L
• Troy Bishop, LCSW
• Bitner Oms PC
• Brian Keith Bizik, P.A.
• Blackmer Foot & Ankle Group PA
• David A Blackmer, DPM
• Colton Shayn Blair, MS, CCC-SLP
• Ronald William Blair, D.O.

• Oral and Maxillofacial Surgery (Dentist) in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Oral and Maxillofacial Surgery (Dentist) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.