Get the free NPI Submission Form for Dental Providers

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This form is required for dental providers to submit their Type 1 and Type II NPI information to CareFirst BlueCross BlueShield and CareFirst BlueChoice for inclusion in provider files.

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How to fill out npi submission form for

How to fill out NPI Submission Form for Dental Providers

01

Gather necessary information: Ensure you have your Tax Identification Number (TIN), Social Security Number (SSN), and business information.

02

Visit the NPI website: Go to the National Plan and Provider Enumeration System (NPPES) website.

03

Create an NPI account: Click on 'Create a New NPI' and register for an account using your email address.

04

Select the 'Dental Provider' category: Choose 'Dental' when prompted to select your provider type.

05

Complete the form: Fill out all required fields, including your name, contact information, and practice address.

06

Certify your information: Review the submission guidelines and certify that your information is accurate.

07

Submit the form: Click on the 'Submit' button to send your NPI application for processing.

08

Wait for confirmation: You will receive your NPI number via email or through the NPPES once your application is approved.

Who needs NPI Submission Form for Dental Providers?

01

Dentists providing services in the U.S.

02

Dental specialists such as orthodontists and oral surgeons.

03

Dental clinics and organizations that bill for dental services.

04

Any provider who needs to submit claims for reimbursement to Medicare, Medicaid, or private insurers.

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What is NPI Submission Form for Dental Providers?

The NPI Submission Form for Dental Providers is a document that dental professionals use to apply for a National Provider Identifier (NPI), which is a unique identification number for healthcare providers in the United States.

Who is required to file NPI Submission Form for Dental Providers?

All dental providers who are healthcare professionals and wish to bill Medicare, Medicaid, or private insurances must file the NPI Submission Form. This includes dentists, dental hygienists, and dental clinics.

How to fill out NPI Submission Form for Dental Providers?

To fill out the NPI Submission Form for Dental Providers, you need to provide personal information such as name, Social Security number or Tax Identification number, business address, and detailed information about your practice. Ensure to follow the instructions carefully and double-check for accuracy.

What is the purpose of NPI Submission Form for Dental Providers?

The purpose of the NPI Submission Form for Dental Providers is to assign a unique identifier to healthcare providers, facilitate efficient electronic healthcare transactions, and ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA).

What information must be reported on NPI Submission Form for Dental Providers?

The information that must be reported on the NPI Submission Form includes provider name, Social Security number or Tax Identification number, practice location, contact information, specialty, and possible affiliations with other healthcare organizations.

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