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National Provider Identifier (NPI)

Dentists, please send us your NPI by filling out this form so we can update our files.

Do I need to take any action?

If you are a provider who submits electronic claims, you must apply for an NPI and understand the requirements for its use.

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What is the NPI?

The National Provider Identifier (NPI) is part of the Health Insurance Portability and Accountability Act (HIPAA). The NPI regulation establishes one unique identifying number for each health care provider. This simplification measure will pare down the number of identifiers currently used in health care transactions.

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How do I apply for my NPI?

You only apply for your NPI once, and your NPI is permanently assigned for your lifetime. There is no cost to apply.

You may apply for your NPI either:

After you receive your NPI, you must furnish any updates to the NPPES. If any of the data you submitted on your application changes, notify NPPES within 30 days of the change.

You may receive notices about the NPI from other health and dental plans, but your unique NPI is used with all plans. Remember to notify each dental plan of your NPI separately.

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What do I do with my NPI once I have it?

If you haven’t done so already, please send us your NPI now so it won’t affect your claims. Please remember to continue to include your TIN and License on the claim.

Other health and dental plans may have differing timelines for NPI implementation, so take notice of each plan's requirements.

In addition, you will want to contact your clearinghouse for instructions about their transition plans for using the NPI.

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Where can I go for additional help and information?

Here are some helpful Internet resources:

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DeCare Dental manages more than 20 dental networks nationally.