Get the free National Provider Identifier Registration Form - denti-cal ca

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This form is used by dental providers to register their National Provider Identifier (NPI) with the California Department of Health Services for the Medi-Cal Dental Program (Denti-Cal). It includes

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How to fill out national provider identifier registration

How to fill out National Provider Identifier Registration Form

01

Obtain the National Provider Identifier Registration Form from the appropriate agency's website.

02

Fill in your legal name and any other names you may be known by.

03

Provide your Social Security Number (SSN) or Employer Identification Number (EIN).

04

Indicate your provider type, such as individual or organization.

05

Enter your contact information, including phone number and address.

06

Describe your practice location(s) if applicable.

07

Specify any taxonomy codes that apply to your specialty.

08

Review the form carefully for accuracy.

09

Submit the completed form online or by mail according to the instructions provided.

Who needs National Provider Identifier Registration Form?

01

Healthcare providers who are billing for services, including individual practitioners and organizations.

02

Physicians, dentists, and other licensed health professionals who require billing Medicare or Medicaid.

03

Healthcare facilities that need to identify themselves for health insurance purposes.

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What is National Provider Identifier Registration Form?

The National Provider Identifier (NPI) Registration Form is a document used by healthcare providers to obtain a unique identification number, known as the NPI, which is essential for billing and administrative purposes in the healthcare system.

Who is required to file National Provider Identifier Registration Form?

Healthcare providers including doctors, dentists, and certain other practitioners who bill for services, as well as organizations such as hospitals and clinics, are required to file the NPI Registration Form.

How to fill out National Provider Identifier Registration Form?

To fill out the NPI Registration Form, providers must provide personal identification information, business information if applicable, and details about their specialty and credentials. The form can be completed online or via a paper application.

What is the purpose of National Provider Identifier Registration Form?

The purpose of the NPI Registration Form is to assign a unique identifier to healthcare providers, facilitating electronic healthcare transactions, ensuring accurate identification of providers, and improving the efficiency of healthcare billing.

What information must be reported on National Provider Identifier Registration Form?

The NPI Registration Form requires providers to report their name, date of birth, Social Security number, practice address, taxonomy (specialty) codes, and other identifying details necessary for the issuance of the NPI.

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