M ELDER D D S A PROFESSIONAL CORPORATION
NPI 1760633341
Dentist - Oral and Maxillofacial Surgery in Pinole, CA
About M Elder D D S A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
M ELDER D D S A PROFESSIONAL CORPORATION (NPI 1760633341) is a healthcare organization registered as an oral and maxillofacial surgery in Pinole, California and active in the NPI registry since October 2008. The organization lists Mahr Fairuke Elder, President / Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
M Elder D D S A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to M Elder D D S A Professional Corporation, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 M Elder D D S A Professional Corporation's NPI number?
The NPI number for M Elder D D S A Professional Corporation is 1760633341. It was assigned to this organization in the NPPES registry on October 1, 2008.
Where is M Elder D D S A Professional Corporation located?
M Elder D D S A Professional Corporation is located at 2150 Appian Way Ste 201 Pinole Oral Surgery, Pinole, CA 94564. The listed phone number is (510) 724-3922.
What is M Elder D D S A Professional Corporation's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is M Elder D D S A Professional Corporation enrolled in Medicare?
Yes. M Elder D D S A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through M Elder D D S A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Oral Surgery, reassign their Medicare billing to M Elder D D S A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does M Elder D D S A Professional Corporation accept?
Health plans from UnitedHealthcare list M Elder D D S A Professional Corporation 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 M Elder D D S A Professional Corporation was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# M Elder D D S A Professional Corporation · NPI 1760633341
Oral and Maxillofacial Surgery organization in Pinole, California. Organization record, active in the CMS NPPES registry since October 1, 2008.
## Identity
- **NPI:** 1760633341 (Entity type: Organization)
- **Enumerated:** October 1, 2008
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Mahr Elder, PRESIDENT / CEO
## Practice location
- **Address:** 2150 APPIAN WAY STE 201, PINOLE ORAL SURGERY, Pinole, CA 94564-2520
- **Phone:** (510) 724-3922 · **Fax:** (510) 724-1037
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Oral Surgery) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1760633341) · Data from the CMS NPPES public registry.