DR. EDDIE S. FADDIS D.D.S.
NPI 1396886511
Dentist - General Practice in Pleasant Grove, UT

Q: What is Eddie Faddis's NPI number?

The NPI number for Eddie Faddis is 1396886511. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Eddie Faddis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eddie Faddis was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 February 09, 2007PECOS Enrolled

533 W STATE RD STE 202, PLEASANT GROVE, UT 84062(801) 785-8835(801) 785-9629 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Eddie S. Faddis D.d.s. NPPES

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

DR. EDDIE S. FADDIS D.D.S. (NPI 1396886511) is an individual general practice provider in Pleasant Grove, Utah, licensed in Utah (145625) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396886511

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. EDDIE S. FADDISCredential: D.D.S.

Location Address533 W STATE RD STE 202Pleasant Grove, UT 84062-2116

Mailing Address533 W State Rd Ste 202Pleasant Grove, UT 84062-2116 · (801) 785-8835 · Fax (801) 785-9629

Phone(801) 785-8835

Fax(801) 785-9629

Sole ProprietorYes

Enumeration DateFebruary 9, 2007

Last NPPES UpdateOctober 28, 2015

✔ NPI 1396886511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 145625

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.

533 W STATE RD STE 202, Pleasant Grove, UT 84062

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Eddie S. Faddis D.d.s. 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 84062 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

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 Eddie Faddis's NPI number?

The NPI number for Eddie Faddis is 1396886511. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Eddie Faddis located?

Eddie Faddis practices at 533 W State Rd Ste 202, Pleasant Grove, UT 84062. The listed phone number is (801) 785-8835.

What is Eddie Faddis's specialty?

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

Is Eddie Faddis enrolled in Medicare?

Yes. Eddie Faddis is registered in the Medicare PECOS enrollment system.

What insurance does Eddie Faddis accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 8 other insurers list Eddie Faddis 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 Eddie Faddis was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.