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CLINTON E NORBY D.D.S.
NPI 1417164369
Dentist - Oral and Maxillofacial Surgery in Dakota Dunes, SD

Active since May 17, 2007Opted out of Medicare · through Sep 9, 2027
301 OAK TREE LN, DAKOTA DUNES, SD 57049(605) 242-0107(605) 242-0145 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2018, Jan 13, 2017 (2 updates tracked since 2017).

About Clinton E Norby D.d.s. NPPES

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

CLINTON E NORBY D.D.S. (NPI 1417164369) is an individual oral and maxillofacial surgery provider in Dakota Dunes, South Dakota, licensed in South Dakota (D0963) and active in the NPI registry since May 2007. He has opted out of Medicare through September 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417164369
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameCLINTON E NORBYCredential: D.D.S.
Location Address301 OAK TREE LNDakota Dunes, SD 57049
Mailing Address301 Oak Tree LnDakota Dunes, SD 57049-5095 · (605) 242-0107 · Fax (605) 242-0145
Phone(605) 242-0107
Fax(605) 242-0145
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateMay 16, 20182 updates tracked since enumeration
✔ NPI 1417164369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in SD · D0963✔ Licensed in IA · 08801
Definition
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.
301 OAK TREE LN, Dakota Dunes, SD 57049
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Other Identifiers 3

Medicaid1548304710IA
Medicaid91201365400NE
Medicaid1548304710SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Clinton E Norby D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 9, 2013 through September 9, 2027.

Opt-Out Effective DateSeptember 9, 2013
Opt-Out In Effect ThroughSeptember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57049 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 3

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

JEFFREY S DEAN D.D.S., M.D., FACS
Dentist (Oral and Maxillofacial Surgery)
301 OAK TREE LN
DAKOTA DUNES, SD 57049
Union County (605) 242-0107
ORAL SURGERY ASSOCATES, P.C.
Dentist (Oral and Maxillofacial Surgery)
301 OAK TREE LN
DAKOTA DUNES, SD 57049
Union County (605) 242-0107
DR. NATHAN ALEXANDER PHILLIPS DDS
Dentist (Oral and Maxillofacial Surgery)
301 OAK TREE LN
DAKOTA DUNES, SD 57049
Union County (605) 242-0107

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 Clinton Norby's NPI number?

The NPI number for Clinton Norby is 1417164369. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Clinton Norby located?

Clinton Norby practices at 301 Oak Tree Ln, Dakota Dunes, SD 57049. The listed phone number is (605) 242-0107.

What is Clinton Norby's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Clinton Norby enrolled in Medicare?

No. Clinton Norby has opted out of Medicare through September 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Clinton Norby accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list Clinton Norby 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 Clinton Norby was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.