CHAD CASEBEER DMD
NPI 1194404954
Dentist - General Practice in Clackamas, OR
NPI Status: Active since July 17, 2023
Contact Information
14210 SE SUNNYSIDE RD STE 200
CLACKAMAS, OR
ZIP 97015
Phone: (503) 451-5104
- Individual
- Male
- Dentist
- General Practice
- Opted-Out Medicare
About CHAD CASEBEER
This page provides the complete NPI Profile along with additional information for Chad Casebeer, a provider established in Clackamas, Oregon with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1194404954 assigned on July 2023. The practitioner's primary taxonomy code is 1223G0001X with license number D11851 (OR). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1194404954
- Provider Name
- CHAD CASEBEER DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 14210 SE SUNNYSIDE RD STE 200 CLACKAMAS, OR 97015
- Location Phone
- (503) 451-5104
- Mailing Address
- 9980 SW CITATION PL BEAVERTON, OR 97008
- Mailing Phone
- (503) 798-8851
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-17-2023
- Last Update Date
- 07-17-2023
- Code Navigator
A dentist like Chad Casebeer is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Chad Casebeer opted out of Medicare effective on 08-21-2024 until 08-21-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- D11851
- License State
- OR
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-21-2024
Opt-Out End Date: 08-21-2026
Eligible to Order and Refer? No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 9 | 4 | 4 | 0 | 4 | 9 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 8 | 0 | 8 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 8 + 0 + 8 + 9 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1194404954 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548954381 | BROOKE HIKADE WYATT, DMD, LLC Organization | Dentist (General Practice) | 14210 SE SUNNYSIDE RD STE 200 CLACKAMAS, OR 97015 (503) 558-9828 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194404954, enumerated in the NPI registry as an "individual" on July 17, 2023
The provider is located at 14210 Se Sunnyside Rd Ste 200 Clackamas, Or 97015 and the phone number is (503) 451-5104
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
No, the provider signed an affidavit on August 21, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 21, 2026.
This NPI record was last updated on July 17, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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