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Get the free NPI Registration Form - denti-cal ca

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This form is used to register your National Provider Identifier (NPI) with the California Department of Health Services, specifically for the Denti-Cal and Medi-Cal Dental Program. Completing this
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How to fill out npi registration form

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How to fill out NPI Registration Form

01
Obtain the NPI Registration Form from the National Plan and Provider Enumeration System (NPPES) website.
02
Fill in your personal information, including your legal name and any other names you may use.
03
Provide your Social Security Number (SSN) or Employer Identification Number (EIN).
04
Enter your date of birth and gender.
05
Specify your practice location, including the address and telephone number.
06
Indicate the type of healthcare provider you are (e.g., physician, nurse, etc.).
07
Complete any additional required sections, including taxonomy codes relevant to your specialty.
08
Review the form for accuracy and completeness.
09
Submit the completed form electronically through the NPPES Portal or mail it to the designated address.

Who needs NPI Registration Form?

01
Healthcare providers including physicians, dentists, and therapists.
02
Organizations and clinics that provide healthcare services.
03
Billing agencies or third-party billers working on behalf of providers.
04
Anyone applying for Medicare, Medicaid, or other health insurance programs.
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People Also Ask about

The National Provider Identifier (NPI) application requires both a Business Mailing Address and Business Practice Location Address to be listed. The Business Mailing Address can be the same as the Business Practice Location Address if the provider can receive mail at the same location where he/she practices.
NPI: A unique 10-digit identifier assigned to the provider during the NPI application process. Enumeration Date: The date the NPI was issued. NPI Type: Indicates whether the NPI is Type 1 (individual) or Type 2 (organization). Status: Shows if the NPI is active or deactivated.
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers.
What information do I need to apply for an NPI? Reason you're submitting the application. Identifying information, including name, SSN and/or ITIN. Name of your organization, including EIN. Mailing and practice location addresses. Other provider identification numbers you have, if applicable. 10-digit provider taxonomy code.
Many students and resident practitioners work on their clinical rotations or academic activities; they need to get an NPI number to participate in medical projects or bill for services under supervision. This is also the case where a license is not required.

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The NPI Registration Form is a document used to apply for a National Provider Identifier (NPI), a unique identification number for healthcare providers in the United States.
Healthcare providers who participate in Medicare, Medicaid, or any health plans that require NPI must file the NPI Registration Form.
To fill out the NPI Registration Form, providers must provide personal and professional information, including name, address, taxonomy, and Medicare/Medicaid enrollment details.
The purpose of the NPI Registration Form is to assign a unique identifier to healthcare providers for billing purposes and to improve the efficiency and accuracy of healthcare transactions.
The NPI Registration Form must include the provider's legal name, practice location, contact information, type of provider, taxonomy code, and any affiliations with organizations.
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Relevant keywords

NPI registration Denti-Cal California Department of Health Services provider enrollment billing provider number rendering provider number NPPES confirmation health services Medi-Cal provider agreements

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