Jacob Derrickson, DDS

ActiveIndividual ProviderDentistry
NPI issued: May 20, 2021

Quick Facts

NPI Number
1083289243
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(337) 520-0672
StateLA

NPI Validation Status: Verified

Valid 10-digit NPI number (1083289243)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 20, 2021)
Data source: CMS NPPES

Provider Overview

JACOB DERRICKSON, DDS is a Dentistry provider based in Carencro, LA who has been registered with CMS since 2021. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083289243
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateMay 20, 2021

Practice Location

CityCarencro
StateLA
ZIP Code70520-6220
Phone(337) 520-0672

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateLA

Mailing Address

CityCarencro
StateLA
ZIP Code70520-6220
Phone(337) 520-0672
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1083289243 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1083289243for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083289243 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
125,053
Dentistry Providers in the US

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People Also Ask

What is Jacob Derrickson's NPI number?
Jacob Derrickson's NPI number is 1083289243, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jacob Derrickson's NPI currently active?
Yes, Jacob Derrickson's NPI status is Active as of the latest CMS NPPES database updates.
What does Jacob Derrickson specialize in?
Jacob Derrickson specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Jacob Derrickson practice?
Jacob Derrickson practices in Carencro, LA 70520-6220.
When was Jacob Derrickson's NPI issued?
Jacob Derrickson's NPI was issued on May 20, 2021.
What is Jacob Derrickson's provider type?
Jacob Derrickson is registered as an Individual Provider under CMS NPI Type 1.