Organization Active NPI

KHM Surgical Partnership

Doing business as Owyhee Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Nampa, ID
National Provider Identifier
1114304250
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
D4557OS Issued in ID
Legal business name
KHM SURGICAL PARTNERSHIP
Doing business as
Owyhee Oral Surgery
Practice address
339 W Iowa Ave
Nampa, ID 83686-2856
Phone
(208) 505-1946
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Kaylyn Green
Title
Access Manager
Phone
(208) 505-1946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X D4557OS ID Primary

Addresses

Primary practice location

339 W Iowa Ave
Nampa, ID 83686-2856

Mailing address

339 W Iowa Ave
Nampa, ID 83686-2856
Phone (208) 505-1946

Other names 1

  • Owyhee Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1114304250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862856",
            "telephone_number": "208-505-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862856",
            "telephone_number": "208-505-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHM SURGICAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KAYLYN",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "208-505-1946"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "D4557OS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owyhee Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.