ERIC DESHAZER DDS
NPI 1619067733
Dentist in Lincoln, NE
About Eric Deshazer Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC DESHAZER DDS (NPI 1619067733) is an individual dentist in Lincoln, Nebraska, licensed in Nebraska (6453) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eric Deshazer Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eric Deshazer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wichita, KS 67214
- Reassigned Medicare billing, Kansas enrollment
- 100 clinicians in this Medicare group
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 68516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eric Deshazer's NPI number?
The NPI number for Eric Deshazer is 1619067733. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is Eric Deshazer located?
Eric Deshazer practices at 5500 S 56th St, Lincoln, NE 68516. The listed phone number is (402) 423-5055.
What is Eric Deshazer's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Eric Deshazer enrolled in Medicare?
Yes. Eric Deshazer is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eric Deshazer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Deshazer reassigns Medicare benefits to Gracemed Health Clinic Inc (Wichita, KS). 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 Eric Deshazer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eric Deshazer accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Eric Deshazer 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 Eric Deshazer 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.
# Eric Deshazer, DDS · NPI 1619067733
Dentist provider in Lincoln, Nebraska. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1619067733 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 6453 (Nebraska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5500 S 56TH ST, Lincoln, NE 68516-1878
- **Phone:** (402) 423-5055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Gracemed Health Clinic Inc (NPI 1184691693, Wichita, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1619067733) · Data from the CMS NPPES public registry.