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DR. W DALE CRUM D.D.S.
NPI 1609870070
Dentist - Oral and Maxillofacial Surgery in Spokane, WA

Active since June 13, 2005Opted out of Medicare · through Jan 1, 2028
2204 E 29TH AVE, STE 104, SPOKANE, WA 99203(509) 928-8800(509) 321-0154 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. W Dale Crum D.d.s. NPPES

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

DR. W DALE CRUM D.D.S. (NPI 1609870070) is an individual oral and maxillofacial surgery provider in Spokane, Washington, licensed in Washington (7006) and active in the NPI registry since June 2005. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609870070
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. W DALE CRUMCredential: D.D.S.
Location Address2204 E 29TH AVE, STE 104Spokane, WA 99203-3961
Mailing Address2204 E 29th Ave, Ste 104Spokane, WA 99203-3961 · (509) 928-8800 · Fax (509) 321-0154
Phone(509) 928-8800
Fax(509) 321-0154
Sole ProprietorYes
Enumeration DateJune 13, 2005
Last NPPES UpdateApril 15, 2010
✔ NPI 1609870070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · 7006
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.
2204 E 29TH AVE, Spokane, WA 99203
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Other Identifiers 3

Medicaid5026117WA
Medicare ID-Type UnspecifiedAB15968WA
Medicare UPINU80693WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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

Dr. W Dale Crum 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 January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 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 99203 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 7

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

DR. DAVID G. GAILEY DDS
Oral & Maxillofacial Surgery
2204 E 29TH AVE, SUITE #104
SPOKANE, WA 99203
Spokane County (509) 321-1404
HARTWIG HEALTH PS
Family Medicine
2204 E 29TH AVE, SUITE 202
SPOKANE, WA 99203
Spokane County (509) 342-7777
KELLY R CLARKE DDS
Dentist (General Practice)
2204 E 29TH AVE, STE. 208
SPOKANE, WA 99203
Spokane County (509) 535-9515
CHARLES L REGALADO DDS,PS
Dentist (General Practice)
2204 E 29TH AVE, SUITE 208
SPOKANE, WA 99203
Spokane County (509) 595-9515
JOHN MICHAEL SCHRUTH MS,PT
Physical Therapist
2204 E 29TH AVE, SUITE 202
SPOKANE, WA 99203
Spokane County (509) 536-1761
INLAND ORAL SURGERY P.S.
Dentist (Oral and Maxillofacial Surgery)
2204 E 29TH AVE, SUITE 104
SPOKANE, WA 99203
Spokane County (509) 321-1404
PAUL C FAWSON III DDS INC PS
Dentist
2204 E 29TH AVE, STE 208
SPOKANE, WA 99203
Spokane County (509) 535-9515

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 W Dale Crum's NPI number?

The NPI number for W Dale Crum is 1609870070. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is W Dale Crum located?

W Dale Crum practices at 2204 E 29th Ave Ste 104, Spokane, WA 99203. The listed phone number is (509) 928-8800.

What is W Dale Crum's specialty?

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

Is W Dale Crum enrolled in Medicare?

No. W Dale Crum has opted out of Medicare through January 1, 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.

What insurance does W Dale Crum accept?

Health plans from Humana list W Dale Crum 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 W Dale Crum was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.