DR. MICHAEL EDWARD DAETWYLER D.D.S
NPI 1225484629
Dentist - Oral and Maxillofacial Surgery in Fort Collins, CO

NPI Status: Active since May 04, 2016

Contact Information

2014 CARIBOU DR STE 100
FORT COLLINS, CO
ZIP 80525
Phone: (970) 225-9555
Fax: (970) 223-2294

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  • Individual
  • Male
  • Dentist
  • Oral and Maxillofacial Surgery
  • Opted-Out Medicare

About MICHAEL DAETWYLER

This page provides the complete NPI Profile along with additional information for Michael Daetwyler, a provider established in Fort Collins, Colorado with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1225484629 assigned on May 2016. The practitioner's primary taxonomy code is 1223S0112X with license number DEN.00204321 (CO). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1225484629
Provider Name
DR. MICHAEL EDWARD DAETWYLER D.D.S
Gender
Male
Entity Type
Individual
Location Address
2014 CARIBOU DR STE 100 FORT COLLINS, CO 80525
Location Phone
(970) 225-9555
Location Fax
(970) 223-2294
Mailing Address
2014 CARIBOU DR STE 100 FORT COLLINS, CO 80525
Mailing Phone
(970) 225-9555
Mailing Fax
(970) 223-2294
Is Sole Proprietor?
No
Enumeration Date
05-04-2016
Last Update Date
12-21-2022
Code Navigator

A dentist like Michael Daetwyler is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Michael Daetwyler opted out of Medicare effective on 09-01-2022 until 09-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
DEN.00204321
License State
CO
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 09-01-2022

  • Opt-Out End Date: 09-01-2026

  • Eligible to Order and Refer? No

Reviews for DR. MICHAEL EDWARD DAETWYLER D.D.S

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225484629, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 8 + 8 + 8 + 6 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1225484629.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Oral & Maxillofacial Surgery
2014 CARIBOU DR STE 100
FORT COLLINS, CO 80525
Specialist/Technologist, Other (Illustration, Medical)
2014 CARIBOU DR STE 100
FORT COLLINS, CO 80525
Dental Assistant
2014 CARIBOU DR STE 100
FORT COLLINS, CO 80525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225484629, enumerated as an "individual" on May 04, 2016.

The provider is located at 2014 CARIBOU DR STE 100 FORT COLLINS, CO 80525 and the phone number is (970) 225-9555.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.