DR. JOSHUA OWEN BIETENHOLZ D.M.D.
NPI 1659489953
Dentist - General Practice in Fernandina Beach, FL

Active since August 27, 2006Opted out of Medicare · through Jul 8, 2028
1947 CITRONA DR, FERNANDINA BEACH, FL 32034(904) 261-7181 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Joshua Owen Bietenholz D.m.d. NPPES

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

DR. JOSHUA OWEN BIETENHOLZ D.M.D. (NPI 1659489953) is an individual general practice provider in Fernandina Beach, Florida, licensed in Florida (DN17599) and active in the NPI registry since August 2006. He has opted out of Medicare through July 8, 2028.

NPPES Registry Identity

NPI1659489953
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOSHUA OWEN BIETENHOLZCredential: D.M.D.
Location Address1947 CITRONA DRFernandina Beach, FL 32034-4492
Mailing Address1947 Citrona DriveFernadina Beach, FL 32034 · (904) 261-7181
Sole ProprietorNo
Enumeration DateAugust 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1659489953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN17599
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.
1947 CITRONA DR, Fernandina Beach, FL 32034

Other Identifiers 1

OtherDN17599FL · License

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. Joshua Owen Bietenholz D.m.d. 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 July 8, 2016 through July 8, 2028.

Opt-Out Effective DateJuly 8, 2016
Opt-Out In Effect ThroughJuly 8, 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 32034 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

Dentist
1947 CITRONA DR
FERNANDINA BEACH, FL 32034
Dentist (General Practice)
1947 CITRONA DR
FERNANDINA BEACH, FL 32034
Dentist (General Practice)
1947 CITRONA DR
FERNANDINA BEACH, FL 32034
Dentist (General Practice)
1947 CITRONA DR
FERNANDINA BEACH, FL 32034

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 Joshua Bietenholz's NPI number?

The NPI number for Joshua Bietenholz is 1659489953. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Joshua Bietenholz located?

Joshua Bietenholz practices at 1947 Citrona Dr, Fernandina Beach, FL 32034. The listed phone number is (904) 261-7181.

What is Joshua Bietenholz's specialty?

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

Is Joshua Bietenholz enrolled in Medicare?

No. Joshua Bietenholz has opted out of Medicare through July 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Joshua Bietenholz 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.