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GABRIEL OVERHOLTZER D.D.S.
NPI 1104250588
Dentist in Bishop, CA

Active since August 21, 2013PECOS Enrolled
325 GROVE ST, BISHOP, CA 93514(760) 873-6513 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabriel Overholtzer D.d.s. NPPES

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

GABRIEL OVERHOLTZER D.D.S. (NPI 1104250588) is an individual dentist in Bishop, California, licensed in California (62585) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104250588
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameGABRIEL OVERHOLTZERCredential: D.D.S.
Location Address325 GROVE STBishop, CA 93514-2621
Mailing Address325 Grove StBishop, CA 93514-2621
Phone(760) 873-6513
Sole ProprietorNo
Enumeration DateAugust 21, 2013
Last NPPES UpdateFebruary 17, 2014
✔ NPI 1104250588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 62585
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
325 GROVE ST, Bishop, CA 93514
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Other Identifiers 1

Other46-4659000CA · Employer Identification Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabriel Overholtzer D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93514 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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

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

EMERY JOSEPH DUNCAN DDS APC
Dentist (General Practice)
325 GROVE ST
BISHOP, CA 93514
Mono County (760) 873-6513

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 Gabriel Overholtzer's NPI number?

The NPI number for Gabriel Overholtzer is 1104250588. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Gabriel Overholtzer located?

Gabriel Overholtzer practices at 325 Grove St, Bishop, CA 93514. The listed phone number is (760) 873-6513.

What is Gabriel Overholtzer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Gabriel Overholtzer enrolled in Medicare?

Yes. Gabriel Overholtzer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gabriel Overholtzer was last updated on February 17, 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.