DR. JERAD CHANCE DIVINE D.D.S.
NPI 1841587250
Dentist - Endodontics in Wichita, KS
About Dr. Jerad Chance Divine D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JERAD CHANCE DIVINE D.D.S. (NPI 1841587250) is an individual endodontics provider in Wichita, Kansas, licensed in Kansas (61283) and active in the NPI registry since July 2011. He has opted out of Medicare through September 11, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Other Identifiers 1
Accepted Insurance
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. Jerad Chance Divine D.d.s. 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 September 11, 2018 through September 11, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67206 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 6
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 Jerad Divine's NPI number?
The NPI number for Jerad Divine is 1841587250. It was assigned to this individual provider in the NPPES registry on July 6, 2011.
Where is Jerad Divine located?
Jerad Divine practices at 12219 E Central Ave, Wichita, KS 67206. The listed phone number is (316) 681-1099.
What is Jerad Divine's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.
Is Jerad Divine enrolled in Medicare?
No. Jerad Divine has opted out of Medicare through September 11, 2026. 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.
What insurance does Jerad Divine accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jerad Divine 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 Jerad Divine was last updated on December 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
