1. Home
  2. Directory
  3. Idaho
  4. Coeur D Alene
  5. Dentist
  6. NPI Profile

DR. DANIEL RAY CULLUM DDS
NPI 1689744831
Dentist - Oral and Maxillofacial Surgery in Coeur D Alene, ID

Active since November 08, 2006Opted out of Medicare · through Oct 12, 2027
1859 N LAKEWOOD DR, SUITE 101, COEUR D ALENE, ID 83814(208) 667-5565(208) 765-9633 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 Ray Cullum Dds NPPES

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

DR. DANIEL RAY CULLUM DDS (NPI 1689744831) is an individual oral and maxillofacial surgery provider in Coeur D Alene, Idaho, licensed in Idaho (D3149-0S) and active in the NPI registry since November 2006. He has opted out of Medicare through October 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689744831
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DANIEL RAY CULLUMCredential: DDS
Location Address1859 N LAKEWOOD DR, SUITE 101Coeur D Alene, ID 83814-2661
Mailing Address1859 N Lakewood Dr, Suite 101Coeur D Alene, ID 83814-2661 · (208) 667-5565 · Fax (208) 765-9633
Phone(208) 667-5565
Fax(208) 765-9633
Sole ProprietorYes
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689744831 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 ID · D3149-0S
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.
1859 N LAKEWOOD DR, Coeur D Alene, ID 83814
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified1204250ID
Medicare UPINT63980ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Daniel Ray Cullum 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 October 12, 2015 through October 12, 2027.

Opt-Out Effective DateOctober 12, 2015
Opt-Out In Effect ThroughOctober 12, 2027Opt-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 83814 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 2

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

VANISHING VEINS OF IDAHO
Specialist
1859 N LAKEWOOD DR, SUITE 303
COEUR D ALENE, ID 83814
Kootenai County (208) 292-1411
DR. DANIEL R CULLUM PA
Dentist (Oral and Maxillofacial Surgery)
1859 N LAKEWOOD DR, STE 101
COEUR D ALENE, ID 83814
Kootenai County (208) 667-5565

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 Cullum's NPI number?

The NPI number for Daniel Cullum is 1689744831. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Daniel Cullum located?

Daniel Cullum practices at 1859 N Lakewood Dr Suite 101, Coeur D Alene, ID 83814. The listed phone number is (208) 667-5565.

What is Daniel Cullum's specialty?

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

Is Daniel Cullum enrolled in Medicare?

No. Daniel Cullum has opted out of Medicare through October 12, 2027. 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 Daniel Cullum accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 1 other insurer list Daniel Cullum 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 Daniel Cullum 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.