DR. CHAD STOLLER DDS, PA-C
NPI 1700871118
Dentist in Fort Wayne, IN

Q: What is Chad Stoller's NPI number?

The NPI number for Chad Stoller is 1700871118. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Chad Stoller's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Chad Stoller was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 13, 2005PECOS Enrolled

2828 E STATE BLVD, FORT WAYNE, IN 46805(260) 482-6689 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Chad Stoller Dds, Pa-c NPPES

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

DR. CHAD STOLLER DDS, PA-C (NPI 1700871118) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12013438A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700871118

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CHAD STOLLERCredential: DDS, PA-C

Location Address2828 E STATE BLVDFort Wayne, IN 46805-4761

Mailing Address2828 E State BlvdFort Wayne, IN 46805-4761 · (260) 482-6689

Phone(260) 482-6689

Sole ProprietorNo

Enumeration DateSeptember 13, 2005

Last NPPES UpdateJuly 22, 2020

NPPES CertifiedJuly 22, 2020

✔ NPI 1700871118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12013438A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601003571 (MI)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601003571 (MI)

2828 E STATE BLVD, Fort Wayne, IN 46805

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Other Identifiers 1

Other970021317Railroad Medicare

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. Chad Stoller Dds, Pa-c 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 46805 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

NOOPUR PATEL

Dentist

2828 E STATE BLVD, SUITE A
FORT WAYNE, IN 46805

Allen County (260) 482-6689

NKECHI A WAN DDS

Dentist

2828 E STATE BLVD, SUITE B
FORT WAYNE, IN 46805

Allen County (260) 482-6689

LIFETIME DENTAL CARE OF INDIANA, PC

Dentist (General Practice)

2828 E STATE BLVD
FORT WAYNE, IN 46805

Allen County (260) 482-6689

DR. MATHEW KAVANAUGH DDS

Dentist

2828 E STATE BLVD, SUITE B
FORT WAYNE, IN 46805

Allen County (260) 482-6689

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 Chad Stoller's NPI number?

The NPI number for Chad Stoller is 1700871118. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Chad Stoller located?

Chad Stoller practices at 2828 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 482-6689.

What is Chad Stoller's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Chad Stoller enrolled in Medicare?

Yes. Chad Stoller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chad Stoller was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.