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Texas Solutions RCM Revenue Cycle

Provider lookups

NPI Number Lookup

Look up a dentist's or dental practice's National Provider Identifier using the public CMS NPPES NPI Registry.

Or search by name:

Quick answer

What is the npi number lookup?

An NPI (National Provider Identifier) is the unique 10-digit number HIPAA requires covered providers, including dentists who bill electronically, to use on standard transactions such as dental claims. This lookup searches the CMS NPPES NPI Registry by number, name or location and shows the provider type, taxonomy, practice address and enumeration details on file.

Sources

Results come straight from public government datasets and may lag official releases. Always confirm codes against the current code set and payer policy before billing.

Frequently asked questions

What is the difference between a Type 1 and Type 2 NPI for a dental practice?

A Type 1 NPI belongs to an individual, such as a dentist or a hygienist who has one, while a Type 2 NPI belongs to an organization, such as a dental group, corporation or DSO-affiliated practice. An incorporated practice usually bills with its Type 2 NPI and lists the treating dentist's Type 1 NPI on each claim.

Why would a dental claim reject for an NPI problem?

Dental claims commonly reject for NPI problems when the number is missing, belongs to the wrong provider type, or does not match the name, taxonomy, address or tax ID the carrier has on file. A new associate whose NPI is not yet linked to the practice in the carrier's system is a frequent cause. Checking the registry before submission helps catch mismatches.

How do dentists update their NPPES information?

Dentists update their information by signing in to NPPES and editing the record, and changes must be reported within 30 days. Common updates include practice location, mailing address, taxonomy and authorized official. Updating NPPES does not update dental carrier or Medicaid records, so those need separate updates through each program.

Is the NPI Registry information public?

Yes, NPPES data for enumerated providers is public, and CMS publishes it through the online registry, an API and downloadable files. It includes the name, NPI type, taxonomy, practice address and phone number, but not Social Security numbers or other sensitive identifiers. Dentists should keep their listing accurate because carriers and referring offices rely on it.

Written by the Texas Solutions RCM team. Last reviewed . General information, not legal or coding advice; payer rules vary.

Need help with this?

Dental Credentialing & Provider Enrollment Credentialing and network enrollment for dentists with PPO carriers and state Medicaid dental programs. Includes updates, re-credentialing and EFT/ERA setup. Learn more Dental Claims Management We build, check and submit dental claims every day, with the attachments carriers expect. Rejections are fixed and each claim is tracked until it is paid. Learn more Dental Insurance Verification & Eligibility We confirm dental coverage and build a full benefits breakdown before each visit. Maximums, frequencies, waiting periods and estimates are entered in your PMS. Learn more Outsourced Dental Billing Services The billing part of the dental revenue cycle we manage: benefits checks, CDT-coded claims, EOB posting, denials and A/R follow-up in your software. Learn more

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