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DR. DANIEL L DEFAZIO DDS
NPI 1548271802
Dentist in Albuquerque, NM

Active since August 11, 2006Opted out of Medicare · through Apr 20, 2028
4775 INDIAN SCHOOL RD NE, SUITE 101, ALBUQUERQUE, NM 87110(505) 265-0123(505) 265-9171 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel L Defazio Dds NPPES

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

DR. DANIEL L DEFAZIO DDS (NPI 1548271802) is an individual dentist in Albuquerque, New Mexico, licensed in New Mexico (DD1738) and active in the NPI registry since August 2006. He has opted out of Medicare through April 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548271802
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DANIEL L DEFAZIOCredential: DDS
Location Address4775 INDIAN SCHOOL RD NE, SUITE 101Albuquerque, NM 87110
Mailing Address4775 Indian School Rd Ne, Suite 101Albuquerque, NM 87110 · (505) 265-0123 · Fax (505) 265-9171
Phone(505) 265-0123
Fax(505) 265-9171
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548271802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DD1738
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.
4775 INDIAN SCHOOL RD NE, Albuquerque, NM 87110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Daniel L Defazio Dds 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 20, 2016 through April 20, 2028.

Opt-Out Effective DateApril 20, 2016
Opt-Out In Effect ThroughApril 20, 2028Opt-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 87110 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 5

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

YI LIN MEDICAL CENTER
Acupuncturist
4775 INDIAN SCHOOL RD NE, SUITE 100
ALBUQUERQUE, NM 87110
Bernalillo County (505) 888-6700
DR. TAMAR ARBEL D.O.M., PH.D.
Acupuncturist
4775 INDIAN SCHOOL RD NE, SUITE 100
ALBUQUERQUE, NM 87110
Bernalillo County (505) 888-6700
IRENE WALKIW DOM
Acupuncturist
4775 INDIAN SCHOOL RD NE, SUITE 100
ALBUQUERQUE, NM 87110
Bernalillo County (505) 888-6700
ERIKA AROLINDA TARANGO
Social Worker
4775 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 584-0043
MS. CHERYL ANN ROBERTSON NP
Nurse Practitioner
4775 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 348-3736

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 Daniel Defazio's NPI number?

The NPI number for Daniel Defazio is 1548271802. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Daniel Defazio located?

Daniel Defazio practices at 4775 Indian School Rd NE Suite 101, Albuquerque, NM 87110. The listed phone number is (505) 265-0123.

What is Daniel Defazio's specialty?

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

Is Daniel Defazio enrolled in Medicare?

No. Daniel Defazio has opted out of Medicare through April 20, 2028. 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.

When was this NPI record last updated?

The NPPES record for Daniel Defazio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.