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CHAD L WAGSTAFF DDS
NPI 1730212564
Dentist - General Practice in Eden, UT

Active since March 13, 2007PECOS Enrolled
2640 N HIGHWAY 162, EDEN, UT 84310(801) 745-1100 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chad L Wagstaff Dds NPPES

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

CHAD L WAGSTAFF DDS (NPI 1730212564) is an individual general practice provider in Eden, Utah, licensed in Illinois (019-025276) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730212564
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHAD L WAGSTAFFCredential: DDS
Location Address2640 N HIGHWAY 162Eden, UT 84310-9745
Mailing AddressPo Box 805, 2640 N Highway 162Eden, UT 84310-0805
Phone(801) 745-1100
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateNovember 6, 2014
✔ NPI 1730212564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019-025276
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.
2640 N HIGHWAY 162, Eden, UT 84310
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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)

Chad L Wagstaff Dds 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 84310 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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

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

CLW DDS PLLC
Dentist
2640 N HIGHWAY 162
EDEN, UT 84310
Weber County (801) 745-1100

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 Wagstaff's NPI number?

The NPI number for Chad Wagstaff is 1730212564. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Chad Wagstaff located?

Chad Wagstaff practices at 2640 N Highway 162, Eden, UT 84310. The listed phone number is (801) 745-1100.

What is Chad Wagstaff's specialty?

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

Is Chad Wagstaff enrolled in Medicare?

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

What insurance does Chad Wagstaff accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Chad Wagstaff 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 Chad Wagstaff was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.