DR. DEXTER P INNISS D.M.D
NPI 1629146469
Dentist - General Practice in Fort Defiance, AZ

Active since December 01, 2006PECOS Enrolled
CORNER OF RT N12 AND N7, FORT DEFIANCE, AZ 86504(770) 760-7566 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2025, Mar 1, 2025 (2 updates tracked since 2025).

About Dr. Dexter P Inniss D.m.d NPPES

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

DR. DEXTER P INNISS D.M.D (NPI 1629146469) is an individual general practice provider in Fort Defiance, Arizona, licensed in Georgia (DN012791) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629146469
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEXTER P INNISSCredential: D.M.D
Location AddressCORNER OF RT N12 AND N7Fort Defiance, AZ 86504-0649
Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649 · (928) 729-8000 · Fax (928) 729-3355
Sole ProprietorYes
Enumeration DateDecember 1, 2006
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 1, 2025
NPI 1629146469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN012791
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CORNER OF RT N12 AND N7, Fort Defiance, AZ 86504

Other Identifiers 1

Medicaid569997178AGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dexter P Inniss D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Obstetrics & Gynecology
CORNER OF RT N12 AND N7
FORT DEFIANCE, AZ 86504
Podiatrist
CORNER OF RT N12 AND N7
FORT DEFIANCE, AZ 86504
Physical Therapist
CORNER OF RT N12 AND N7
FORT DEFIANCE, AZ 86504
Obstetrics & Gynecology
CORNER OF RT N12 AND N7, FORT DEFIANCE PHS HOSPITAL
FORT DEFIANCE, AZ 86504
Social Worker
CORNER OF RT N12 AND N7
FORT DEFIANC, AZ 86504

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 Dexter Inniss's NPI number?

The NPI number for Dexter Inniss is 1629146469. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Dexter Inniss located?

Dexter Inniss practices at Corner Of Rt N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (770) 760-7566.

What is Dexter Inniss's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Dexter Inniss enrolled in Medicare?

Yes. Dexter Inniss is registered in the Medicare PECOS enrollment system.

What insurance does Dexter Inniss accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Dexter Inniss 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 Dexter Inniss was last updated on March 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.