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DR. BRIAN LORY DANIELSSON DDS
NPI 1184706509
Dentist - General Practice in Ridgecrest, CA

Active since October 19, 2006Opted out of Medicare · through Aug 5, 2028
700 N SANDERS ST, SUITE A, RIDGECREST, CA 93555(760) 371-4800(760) 371-4825 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brian Lory Danielsson Dds NPPES

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

DR. BRIAN LORY DANIELSSON DDS (NPI 1184706509) is an individual general practice provider in Ridgecrest, California, licensed in California (35243) and active in the NPI registry since October 2006. He has opted out of Medicare through August 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184706509
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN LORY DANIELSSONCredential: DDS
Location Address700 N SANDERS ST, SUITE ARidgecrest, CA 93555-3528
Mailing Address700 N Sanders St, Suite ARidgecrest, CA 93555-3528 · (760) 371-4800 · Fax (760) 371-4825
Phone(760) 371-4800
Fax(760) 371-4825
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184706509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 35243
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.
700 N SANDERS ST, Ridgecrest, CA 93555
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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. Brian Lory Danielsson Dds 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 5, 2016 through August 5, 2028.

Opt-Out Effective DateAugust 5, 2016
Opt-Out In Effect ThroughAugust 5, 2028Opt-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 93555 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
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 2

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

DR. MICHAEL E BACHMAN DDS
Dentist (General Practice)
700 N SANDERS ST, SUITE B
RIDGECREST, CA 93555
Kern County (760) 375-8512
DR. MICHAEL EUGENE BACHMAN JR. D.D.S.
Dentist
700 N SANDERS ST, SUITE B
RIDGECREST, CA 93555
Kern County (760) 375-8512

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 Brian Danielsson's NPI number?

The NPI number for Brian Danielsson is 1184706509. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Brian Danielsson located?

Brian Danielsson practices at 700 N Sanders St Suite A, Ridgecrest, CA 93555. The listed phone number is (760) 371-4800.

What is Brian Danielsson's specialty?

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

Is Brian Danielsson enrolled in Medicare?

No. Brian Danielsson has opted out of Medicare through August 5, 2028. 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.

When was this NPI record last updated?

The NPPES record for Brian Danielsson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.