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RENZO SANTISTEBAN DMD
NPI 1396482295
Dentist - General Practice in Faison, NC

Active since May 13, 2022PECOS Enrolled
460 SW CENTER ST, FAISON, NC 28341(910) 267-0951(910) 718-9334 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2024, Aug 26, 2022, May 13, 2022 (3 updates tracked since 2022).

About Renzo Santisteban Dmd NPPES

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

RENZO SANTISTEBAN DMD (NPI 1396482295) is an individual general practice provider in Faison, North Carolina, licensed in North Carolina (12996) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1396482295
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRENZO SANTISTEBANCredential: DMD
Location Address460 SW CENTER STFaison, NC 28341-8820
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2042 · Fax (855) 996-9090
Phone(910) 267-0951
Fax(910) 718-9334
Sole ProprietorYes
Enumeration DateMay 13, 2022
Last NPPES UpdateJuly 26, 20243 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1396482295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 12996
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
460 SW CENTER ST, Faison, NC 28341
Open in Google Maps ↗

Secondary Practice Location 1

Location 1925 N 4th StWilmington, NC 28401-3450 · Phone (910) 343-0270

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Renzo Santisteban 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 Renzo Santisteban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goshen Medical Center Incorporated
Same address
General Practice
460 SW CENTER STREET
Faison, NC 28341
  • Reassigned Medicare billing, North Carolina enrollment
  • 173 clinicians in this Medicare group
NPI 1902084486 (910) 267-0951

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 28341 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 4

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

GOSHEN MEDICAL CENTER INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
460 SW CENTER ST
FAISON, NC 28341
Duplin County (910) 267-0951
DR. PHILLIP JOSEPH KOHUT D.M.D.
Dentist (General Practice)
460 SW CENTER ST
FAISON, NC 28341
Duplin County (910) 267-0951
BRYAN FRANCIS DDS
Dentist
460 SW CENTER ST
FAISON, NC 28341
Duplin County (910) 267-0951
DR. JENNY ANNA TUREK DDS
Dentist (General Practice)
460 SW CENTER ST
FAISON, NC 28341
Duplin County (910) 267-0951

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 Renzo Santisteban's NPI number?

The NPI number for Renzo Santisteban is 1396482295. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Where is Renzo Santisteban located?

Renzo Santisteban practices at 460 SW Center St, Faison, NC 28341. The listed phone number is (910) 267-0951.

What is Renzo Santisteban's specialty?

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

Is Renzo Santisteban enrolled in Medicare?

Yes. Renzo Santisteban is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Renzo Santisteban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renzo Santisteban reassigns Medicare benefits to Goshen Medical Center Incorporated (Faison, 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 Renzo Santisteban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Renzo Santisteban accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of North Carolina and HRI Dental & Vision and 3 other insurers list Renzo Santisteban 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 Renzo Santisteban was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.