Active NPI
KHM Surgical Partnership
Doing business as Owyhee Oral Surgery
- Oral and Maxillofacial Surgery Clinic/Center
- Nampa, ID
National Provider Identifier
1114304250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- D4557OS
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Nampa, ID
- NPI 1093907610
-
- Oral and Maxillofacial Surgery (Dentist)
- Boise, ID
- NPI 1487910733
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.