DR. CARLY PETERSCHMIDT DMD
NPI 1821406497
Dentist in Corvallis, OR
About Dr. Carly Peterschmidt Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLY PETERSCHMIDT DMD (NPI 1821406497) is an individual dentist in Corvallis, Oregon, licensed in Oregon (D10080) and active in the NPI registry since July 2014. She has opted out of Medicare through February 15, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Carly Peterschmidt Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 15, 2016 through February 15, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carly Peterschmidt's NPI number?
The NPI number for Carly Peterschmidt is 1821406497. It was assigned to this individual provider in the NPPES registry on July 28, 2014.
Where is Carly Peterschmidt located?
Carly Peterschmidt practices at 2420 NW Professional Dr Suite 150, Corvallis, OR 97330. The listed phone number is (541) 758-6587.
What is Carly Peterschmidt's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Carly Peterschmidt enrolled in Medicare?
No. Carly Peterschmidt has opted out of Medicare through February 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Carly Peterschmidt was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Carly Peterschmidt, DMD · NPI 1821406497
Dentist provider in Corvallis, Oregon. Individual provider, active in the CMS NPPES registry since July 28, 2014.
## Identity
- **NPI:** 1821406497 (Entity type: Individual)
- **Enumerated:** July 28, 2014
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** D10080 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2420 NW PROFESSIONAL DR, SUITE 150, Corvallis, OR 97330-3990
- **Phone:** (541) 758-6587
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 15, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 28, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1821406497) · Data from the CMS NPPES public registry.