DR. DAVID OPACK D.D.S
NPI 1104231752
Dentist - General Practice in Albuquerque, NM

Active since June 23, 2014Opted out of Medicare · through Aug 16, 2026
4201 CENTRAL AVE NW STE F1, ALBUQUERQUE, NM 87105(505) 843-7172(505) 352-6689 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Opack D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID OPACK D.D.S (NPI 1104231752) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (DD4106) and active in the NPI registry since June 2014. He has opted out of Medicare through August 16, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104231752
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID OPACKCredential: D.D.S
Location Address4201 CENTRAL AVE NW STE F1Albuquerque, NM 87105-1669
Mailing Address350 N Clark St Fl 6Chicago, IL 60654-4712
Fax(505) 352-6689
Sole ProprietorNo
Enumeration DateJune 23, 2014
NPI 1104231752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NM · DD4106
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4201 CENTRAL AVE NW STE F1, Albuquerque, NM 87105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. David Opack D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2016 through August 16, 2026.

Opt-Out Effective DateAugust 16, 2016
Opt-Out In Effect ThroughAugust 16, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Student in an Organized Health Care Education/Training Program
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist (General Practice)
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist (General Practice)
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Opack's NPI number?

The NPI number for David Opack is 1104231752. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is David Opack located?

David Opack practices at 4201 Central Ave NW Ste F1, Albuquerque, NM 87105. The listed phone number is (505) 843-7172.

What is David Opack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Opack enrolled in Medicare?

No. David Opack has opted out of Medicare through August 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Opack accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list David Opack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Opack was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.