DAVID SHANE VERSCHUEREN D.M.D, M.D.
NPI 1447454954
Oral & Maxillofacial Surgery in Vancouver, WA

Q: What is David Verschueren's NPI number?

The NPI number for David Verschueren is 1447454954. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Q: What is David Verschueren's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: Is David Verschueren enrolled in Medicare?

No. David Verschueren has opted out of Medicare through April 5, 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.

Q: When was this NPI record last updated?

The NPPES record for David Verschueren was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 11, 2007Opted out of Medicare · through Apr 5, 2027

601 SE 117TH AVE STE 120, VANCOUVER, WA 98683(360) 695-4300(360) 695-4344 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About David Shane Verschueren D.m.d, M.d. NPPES

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

DAVID SHANE VERSCHUEREN D.M.D, M.D. (NPI 1447454954) is an individual oral & maxillofacial surgery provider in Vancouver, Washington, licensed in Washington (MD60071474) and active in the NPI registry since June 2007. He has opted out of Medicare through April 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447454954

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDAVID SHANE VERSCHUERENCredential: D.M.D, M.D.

Location Address601 SE 117TH AVE STE 120Vancouver, WA 98683-5297

Mailing Address601 Se 117th Ave Ste 120Vancouver, WA 98683-5297 · (360) 695-4300 · Fax (360) 695-4344

Phone(360) 695-4300

Fax(360) 695-4344

Sole ProprietorYes

Enumeration DateJune 11, 2007

Last NPPES UpdateJuly 22, 2009

✔ NPI 1447454954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in WA · MD60071474

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

601 SE 117TH AVE STE 120, Vancouver, WA 98683

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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

David Shane Verschueren D.m.d, M.d. 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 April 5, 2017 through April 5, 2027.

Opt-Out Effective DateApril 5, 2017

Opt-Out In Effect ThroughApril 5, 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.

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 David Verschueren's NPI number?

The NPI number for David Verschueren is 1447454954. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is David Verschueren located?

David Verschueren practices at 601 SE 117th Ave Ste 120, Vancouver, WA 98683. The listed phone number is (360) 695-4300.

What is David Verschueren's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is David Verschueren enrolled in Medicare?

No. David Verschueren has opted out of Medicare through April 5, 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 David Verschueren accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list David Verschueren 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 David Verschueren was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.