Evan Fiedler, D.D.S

ActiveIndividual ProviderDentistry
NPI issued: June 30, 2009

Quick Facts

NPI Number
1104054022
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(815) 339-6888
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1104054022)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 30, 2009)
Data source: CMS NPPES

Provider Overview

EVAN FIEDLER, D.D.S is a Dentistry provider based in Granville, IL who has been registered with CMS since 2009. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104054022
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusActive
Enumeration DateJune 30, 2009

Practice Location

CityGranville
StateIL
ZIP Code61326-9329
Phone(815) 339-6888

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateIL

Mailing Address

CityGranville
StateIL
ZIP Code61326-9329
Phone(815) 339-6888
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104054022 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 1104054022for 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 1104054022 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.

📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Evan Fiedler's NPI number?
Evan Fiedler's NPI number is 1104054022, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Evan Fiedler's NPI currently active?
Yes, Evan Fiedler's NPI status is Active as of the latest CMS NPPES database updates.
What does Evan Fiedler specialize in?
Evan Fiedler specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Evan Fiedler practice?
Evan Fiedler practices in Granville, IL 61326-9329.
When was Evan Fiedler's NPI issued?
Evan Fiedler's NPI was issued on June 30, 2009.
What is Evan Fiedler's provider type?
Evan Fiedler is registered as an Individual Provider under CMS NPI Type 1.