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: July 26, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027

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.

What insurance does Tashana Detwiler accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 14 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 with the weekly NPPES data releases published by CMS.