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TASHANA DETWILER DMD
NPI 1205500147
Dentist - Dental Public Health in Concord, NC

Active since August 04, 2021PECOS Enrolled
280 CONCORD PKWY S STE 110A, CONCORD, NC 28027(704) 920-1070(704) 920-1071 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tashana Detwiler Dmd NPPES

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

TASHANA DETWILER DMD (NPI 1205500147) is an individual dental public health provider in Concord, North Carolina, licensed in North Carolina (12420) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205500147
Entity TypeIndividualFemale
Primary Taxonomy1223D0001X
Provider Legal NameTASHANA DETWILERCredential: DMD
Location Address280 CONCORD PKWY S STE 110AConcord, NC 28027-2704
Mailing Address5008 Shadow Pine DrCharlotte, NC 28269-5142 · (704) 780-3714
Phone(704) 920-1070
Fax(704) 920-1071
Sole ProprietorYes
Enumeration DateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1205500147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in NC · 12420
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
280 CONCORD PKWY S STE 110A, Concord, NC 28027
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tashana Detwiler Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Tashana Detwiler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charlotte Community Health Clinic, Inc.
11 mi
Federally Qualified Health Center (FQHC)
8401 MEDICAL PLAZA DR STE 300
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 29 clinicians in this Medicare group
NPI 1528363868 (704) 316-6561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28027 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 6

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

DR. ELEANOR STEEL D.M.D., M.P.H.
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Cabarrus County (704) 920-1070
DR. KIMBERLEY CANTON-KANE D.D.S
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Cabarrus County (704) 920-1070
DR. MANUEL LOPEZ D.D.S.
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Cabarrus County (704) 920-1070
NATHAN THOMAS MALONEY DDS
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Cabarrus County (704) 920-1070
TRAVIS ANDRE RUSSELL DDS
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Cabarrus County (704) 920-1070
DR. SUCHITAR SHARMA D.D.S.
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Cabarrus County (704) 920-1070

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 Tashana Detwiler's NPI number?

The NPI number for Tashana Detwiler is 1205500147. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Tashana Detwiler located?

Tashana Detwiler practices at 280 Concord Pkwy S Ste 110A, Concord, NC 28027. The listed phone number is (704) 920-1070.

What is Tashana Detwiler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Tashana Detwiler enrolled in Medicare?

Yes. Tashana Detwiler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tashana Detwiler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tashana Detwiler reassigns Medicare benefits to Charlotte Community Health Clinic, Inc. (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tashana Detwiler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tashana Detwiler 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 NC and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Tashana Detwiler 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 Tashana Detwiler was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.