DR. STANTON D WIDMER D.D.S.
NPI 1497918809
Dentist - Endodontics in Caldwell, ID
NPI Status: Active since July 07, 2008
Contact Information
4207 CLOCKTOWER AVE.
CALDWELL, ID
ZIP 83607
Phone: (208) 454-3636
Fax: (208) 454-1333
- Individual
- Male
- Dentist
- Endodontics
- Accepts Insurance
- Opted-Out Medicare
About STANTON WIDMER
This page provides the complete NPI Profile along with additional information for Stanton Widmer, a provider established in Caldwell, Idaho with a medical specialization in Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1497918809 assigned on July 2008. The practitioner's primary taxonomy code is 1223E0200X with license number #D-4148 (ID). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1497918809
- Provider Name
- DR. STANTON D WIDMER D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4207 CLOCKTOWER AVE. CALDWELL, ID 83607
- Location Phone
- (208) 454-3636
- Location Fax
- (208) 454-1333
- Mailing Address
- 4207 CLOCKTOWER AVE. CALDWELL, ID 83607
- Mailing Phone
- (208) 454-3636
- Mailing Fax
- (208) 454-1333
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-07-2008
- Last Update Date
- 07-07-2008
- Code Navigator
A dentist like Stanton Widmer is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Stanton Widmer opted out of Medicare effective on 02-12-2025 until 02-12-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Endodontics
- Taxonomy Code
- 1223E0200X
- Type
- Dental Providers
- License No.
- #D-4148
- License State
- ID
- Taxonomy Description
- The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-12-2025
Opt-Out End Date: 02-12-2027
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1497918809, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497918809, enumerated as an "individual" on July 07, 2008.
The provider is located at 4207 CLOCKTOWER AVE. CALDWELL, ID 83607 and the phone number is (208) 454-3636.
Dentist with taxonomy code 1223E0200X and a focus in Endodontics.
The provider might be accepting Accepts: Humana. Please consult your insurance carrier or call the provider to verify.
