Northwest Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

NORTHWEST ORAL SURGERY LLC

Practice address

3190 E Barber Valley Dr
Boise, ID 83716-4735

Phone

(208) 344-9115

Fax

(208) 344-9113

NPI assigned

Jun 9, 2026

Last updated

Jun 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syrus Haghighi, DDSNPI 1447819032

Title

Owner

Phone

(208) 344-9115

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Syrus Ghorbanzadeh Haghighi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Meridian, ID
  • NPI 1447819032
  Authorized official Same address or phone

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1962336693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S SPRING VALLEY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429094",
            "telephone_number": "208-344-9115",
            "fax_number": "208-344-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 E BARBER VALLEY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837164735",
            "telephone_number": "208-344-9115",
            "fax_number": "208-344-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "HAGHIGHI",
        "authorized_official_first_name": "SYRUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-344-9115",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Dental Center
• Northwest Dental Center, PA
• Northwest Dental Group
• Northwest Neurobehavioral Health PLLC
• Northwest Occupational Medicine & Neurosurgical Spine Institute LLC
• Northwest Osteoscreening (NW Health & OsteoScreening)
• Northwest Paramedic Associates Inc.
• Northwest Physical Medicine and Rehabilitation PLLC
• Northwest Professionals Family Resource Center
• Northwest Radiation Oncology PA

• Oral and Maxillofacial Surgery Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.