NPI, National Provider Identifier National Dental EDI Council
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NPI Check List
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This checklist will ensure that your NPI registration will be quick and easy. By filling out the items below, you will have all the information at your fingertips that is needed to complete a provider NPI registration. Once you have completed this checklist, go to https://nppes.cms.hhs.gov/ to start the registration process.

Checklist

Social Security Number: __ __ __ - __ __ - __ __ __ __

Individual Tax ID: __ __ __ __ __ __ __ __ __

Employer ID (EIN) or (SSN) _________________________

License Number: ___________________ State of Issue: ___________

Other Provider ID Numbers (fill out all that are applicable):

UPIN: _____________________ State* _______________

Medicare: _____________________ State* _______________

Medicaid: _____________________ State* _______________

Other: _____________________ State* _______________

Other: _____________________ State* _______________

*State is only required where applicable

Dental Related Taxonomy Codes

**Provider Taxonomy Code(s) you may use at time of application.(and state of issue):

[I f you do not know the taxonomy codes that apply to you, a list of taxonomy codes can be found at http://www.wpc-edi.com/taxonomy or see the partial list below]

** It is appropriate to list all taxonomy codes that apply. See back for Dental related codes and visit the website for update.

  • Group
    • Multi-Specialty - 193200000X
    • Single Specialty - 193400000X
  • Dental Providers
    • Dentist - 122300000X
    • Dental Public Health - 1223D0001X
    • Endodontics - 1223E0200X
    • General Practice - 1223G0001X
    • Oral and Maxillofacial Pathology - 1223P0106X
    • Oral and Maxillofacial Radiology - 1223X0008X
    • Oral and Maxillofacial Surgery - 1223S0112X
    • Orthodontics and Dentofacial Orthopedics - 1223X0400X
    • Pediatric Dentistry - 1223P0221X
    • Periodontics - 1223P0300X
    • Prosthodontics - 1223P0700X

This information has been provided to help answer many of the questions related to NPI as well as ease the process of obtaining an NPI. NDEDIC shall not be held liable for the use of the information nor any damage that may be incurred as a result of the use of this information. NDEDIC has prepared this information in good faith in an effort to serve its membership and their clients.

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