DR. MARC CONEL THEVENIN JR. DDS - NPI 1811281637

Q: What is Marc Thevenin's NPI number?

The NPI number for Marc Thevenin is 1811281637. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Q: What is Marc Thevenin'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 Marc Thevenin was last updated on November 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Marc Conel Thevenin Jr. Dds NPPES

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

DR. MARC CONEL THEVENIN JR. DDS (NPI 1811281637) is an individual dentist in Davenport, Iowa, licensed in Iowa (DDS-10298) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811281637

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MARC CONEL THEVENIN JR.Credential: DDS

Location Address5270 ELMORE AVE STE 4Davenport, IA 52807-3437

Mailing Address2095 Clementi LnAurora, IL 60503-8579 · (909) 810-6292

Phone(563) 209-9000

Sole ProprietorNo

Enumeration DateJune 9, 2011

Last NPPES UpdateNovember 27, 2024

NPPES CertifiedNovember 27, 2024

✔ NPI 1811281637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in IA · DDS-10298✔ Licensed in IL · 019030600

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5270 ELMORE AVE STE 4, Davenport, IA 52807

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Secondary Practice Locations 2

Location 116473 W 159th StLockport, IL 60441-7961 · Phone (815) 221-4200

Location 21770 Grand Concourse Apt 2FBronx, NY 10457-5526 · Phone (718) 901-8110 · Fax (718) 901-8121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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)

Dr. Marc Conel Thevenin Jr. 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 52807 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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 6

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

LM SMILES PLLC

Dentist (General Practice)