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DR. DAVID H DETER D.D.S.
NPI 1184722340
Dentist - General Practice in La Canada, CA

Active since September 20, 2006Opted out of Medicare · through May 4, 2027
1751 FOOTHILL BLVD # 1, LA CANADA, CA 91011(818) 952-8991(818) 952-8995 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David H Deter D.d.s. NPPES

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

DR. DAVID H DETER D.D.S. (NPI 1184722340) is an individual general practice provider in La Canada, California, licensed in California (21111) and active in the NPI registry since September 2006. He has opted out of Medicare through May 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184722340
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID H DETERCredential: D.D.S.
Location Address1751 FOOTHILL BLVD # 1La Canada, CA 91011-2950
Mailing Address1751 Foothill Blvd # 1La Canada, CA 91011-2950 · (818) 952-8991 · Fax (818) 952-8995
Phone(818) 952-8991
Fax(818) 952-8995
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184722340 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 · 21111
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.
1751 FOOTHILL BLVD # 1, La Canada, CA 91011
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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. David H Deter 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 May 4, 2015 through May 4, 2027.

Opt-Out Effective DateMay 4, 2015
Opt-Out In Effect ThroughMay 4, 2027Opt-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 91011 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Deter's NPI number?

The NPI number for David Deter is 1184722340. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is David Deter located?

David Deter practices at 1751 Foothill Blvd # 1, La Canada, CA 91011. The listed phone number is (818) 952-8991.

What is David Deter's specialty?

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

Is David Deter enrolled in Medicare?

No. David Deter has opted out of Medicare through May 4, 2027. 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 David Deter 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.