1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Dentist
  6. NPI Profile

DR. DESIREE ANDREA RECORD DDS
NPI 1811566680
Dentist - General Practice in Sacramento, CA

Active since June 24, 2021PECOS Enrolled
3675 T ST APT 311, SACRAMENTO, CA 95816(916) 613-7962 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jun 24, 2021 (2 updates tracked since 2021).

About Dr. Desiree Andrea Record Dds NPPES

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

DR. DESIREE ANDREA RECORD DDS (NPI 1811566680) is an individual general practice provider in Sacramento, California and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811566680
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DESIREE ANDREA RECORDCredential: DDS
Location Address3675 T ST APT 311Sacramento, CA 95816-6669
Mailing Address3675 T St Apt 311Sacramento, CA 95816-6669 · (916) 613-7962
Phone(916) 613-7962
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1811566680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3675 T ST APT 311, Sacramento, CA 95816
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Desiree Andrea Record Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638660855
PECOS Enrollment IDI20251117000912
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.

Medicare Billing Reassignment

Medicare enrollment records show Desiree Record reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Rosa Community Health Centers
68 mi
Federally Qualified Health Center (FQHC)
301 6TH STREET, SUITE 214
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • 215 clinicians in this Medicare group
NPI 1467180430 (707) 387-3214

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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 Desiree Record's NPI number?

The NPI number for Desiree Record is 1811566680. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Desiree Record located?

Desiree Record practices at 3675 T St Apt 311, Sacramento, CA 95816. The listed phone number is (916) 613-7962.

What is Desiree Record's specialty?

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

Is Desiree Record enrolled in Medicare?

Yes. Desiree Record is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desiree Record's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Record reassigns Medicare benefits to Santa Rosa Community Health Centers (Santa Rosa, CA). The 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 Desiree Record's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Desiree Record was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.