DR. DANIEL GRANT FREEMAN JEFFERIES DMD
NPI 1285293167
Dentist in Ponderay, ID

Q: What is Daniel Jefferies's NPI number?

The NPI number for Daniel Jefferies is 1285293167. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Q: What is Daniel Jefferies's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Jefferies was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 13, 2019PECOS Enrolled

30410 HIGHWAY 200, PONDERAY, ID 83852(208) 263-7101 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Daniel Grant Freeman Jefferies Dmd NPPES

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

DR. DANIEL GRANT FREEMAN JEFFERIES DMD (NPI 1285293167) is an individual dentist in Ponderay, Idaho, licensed in Idaho (D-5050) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285293167

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. DANIEL GRANT FREEMAN JEFFERIESCredential: DMD

Location Address30410 HIGHWAY 200Ponderay, ID 83852-9601

Mailing Address514 Jenny LnSandpoint, ID 83864-6006 · (801) 953-7560

Phone(208) 263-7101

Sole ProprietorYes

Enumeration DateJune 13, 2019

✔ NPI 1285293167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ID · D-5050

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

30410 HIGHWAY 200, Ponderay, ID 83852

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Grant Freeman Jefferies 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 83852 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 13

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

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