Ted Deatherage, D.M.D

ActiveIndividual ProviderDentistry
NPI issued: January 3, 2007

Quick Facts

NPI Number
1689721813
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(417) 257-0126
StateMO

NPI Validation Status: Verified

Valid 10-digit NPI number (1689721813)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 3, 2007)
Data source: CMS NPPES

Provider Overview

TED DEATHERAGE, D.M.D is a Dentistry provider based in West Plains, MO who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1689721813
Provider TypeIndividual Provider
GenderMale
CredentialD.M.D
StatusActive
Enumeration DateJanuary 3, 2007

Practice Location

CityWest Plains
StateMO
ZIP Code65775-1814
Phone(417) 257-0126

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateMO

Mailing Address

CityWest Plains
StateMO
ZIP Code65775-1814
Phone(417) 257-0126
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1689721813 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 1689721813for 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 1689721813 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.

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125,053
Dentistry Providers in the US

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People Also Ask

What is Ted Deatherage's NPI number?
Ted Deatherage's NPI number is 1689721813, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Ted Deatherage's NPI currently active?
Yes, Ted Deatherage's NPI status is Active as of the latest CMS NPPES database updates.
What does Ted Deatherage specialize in?
Ted Deatherage specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Ted Deatherage practice?
Ted Deatherage practices in West Plains, MO 65775-1814.
When was Ted Deatherage's NPI issued?
Ted Deatherage's NPI was issued on January 3, 2007.
What is Ted Deatherage's provider type?
Ted Deatherage is registered as an Individual Provider under CMS NPI Type 1.