CHANDLER BOZARTH DDS
NPI 1497434823
Dentist in Coeur D Alene, ID

Q: What is Chandler Bozarth's NPI number?

The NPI number for Chandler Bozarth is 1497434823. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Q: What is Chandler Bozarth'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 Chandler Bozarth was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 July 13, 2023PECOS Enrolled

1090 W PARK PL STE B, COEUR D ALENE, ID 83814(208) 292-0697 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2026, Dec 29, 2025, Jul 13, 2023 (3 updates tracked since 2023).

On this page

About Chandler Bozarth Dds NPPES

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

CHANDLER BOZARTH DDS (NPI 1497434823) is an individual dentist in Coeur D Alene, Idaho, licensed in Idaho (6471081) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Dentistry (2023).

NPPES Registry Identity

NPI1497434823

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameCHANDLER BOZARTHCredential: DDS

Location Address1090 W PARK PL STE BCoeur D Alene, ID 83814-2785

Mailing Address1090 W Park PlCoeur D Alene, ID 83814-2785 · (870) 219-4969

Phone(208) 292-0697

Sole ProprietorNo

Medical School CMSLoma Linda University School Of DentistryGraduated 2023

Enumeration DateJuly 13, 2023

Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1497434823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ID · 6471081

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.

1090 W PARK PL STE B, Coeur D Alene, ID 83814

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chandler Bozarth Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446746531

PECOS Enrollment IDI20251227000441

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

Dirne Health Centers, Inc.

Same address

Federally Qualified Health Center (FQHC)

1090 W PARK PLACE
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
81 clinicians in this Medicare group

NPI 1285686477 (208) 215-2005

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 83814 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 3

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

DR. REED K JARVIS D.D.S.

Dentist

1090 W PARK PL STE B
COEUR D ALENE, ID 83814

Kootenai County (208) 292-0697

DR. DEVIN DANIEL ROURKE DDS

Dentist (General Practice)

1090 W PARK PL STE B
COEUR D ALENE, ID 83814

Kootenai County (082) 920-6972

DIRNE HEALTH CENTERS INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1090 W PARK PL STE B
COEUR D ALENE, ID 83814

Kootenai County (208) 292-0697

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 Chandler Bozarth's NPI number?

The NPI number for Chandler Bozarth is 1497434823. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Chandler Bozarth located?

Chandler Bozarth practices at 1090 W Park Pl Ste B, Coeur D Alene, ID 83814. The listed phone number is (208) 292-0697.

What is Chandler Bozarth's specialty?

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

Is Chandler Bozarth enrolled in Medicare?

Yes. Chandler Bozarth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chandler Bozarth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chandler Bozarth reassigns Medicare benefits to Dirne Health Centers, Inc. (Coeur D Alene, ID). 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 Chandler Bozarth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chandler Bozarth accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Chandler Bozarth 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 Chandler Bozarth was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.