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DR. CLYDE HENRY FASICK DMD
NPI 1851442669
Dentist - General Practice in San Juan, PR

Active since January 16, 2007PECOS Enrolled
29 WASHINGTON ST, SUITE 808 ASHFORD MEDICAL CENTER, SAN JUAN, PR 00907(787) 725-4776(787) 725-4776 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Clyde Henry Fasick Dmd NPPES

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

DR. CLYDE HENRY FASICK DMD (NPI 1851442669) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (1729) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851442669
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLYDE HENRY FASICKCredential: DMD
Location Address29 WASHINGTON ST, SUITE 808 ASHFORD MEDICAL CENTERSan Juan, PR 00907
Mailing AddressAshford Medical Center, Suite 808 #29 Washington StSan Juan, PR 00907 · (787) 725-4776 · Fax (787) 725-4776
Phone(787) 725-4776
Fax(787) 725-4776
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851442669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PR · 1729
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.

29 WASHINGTON ST, San Juan, PR 00907
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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. Clyde Henry Fasick Dmd 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 00907 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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 4

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

MR. ELVIN GERARDO RIVERA MD
Internal Medicine (Cardiovascular Disease)
29 WASHINGTON ST, ASHFORD MEDICAL CENTER STE 709
SAN JUAN, PR 00907
San Juan Municipio (787) 725-2964
MR. RAFAEL J OPPENHEIMER DP.M
Podiatrist (Foot Surgery)
29 WASHINGTON ST, SUITE #702 ASHFORD MEDICAL CENTER
SAN JUAN, PR 00907
San Juan Municipio (787) 721-4404
MR. CARLOS E. GIROD SR. M.D.
Internal Medicine (Cardiovascular Disease)
29 WASHINGTON ST, ASHFORD MEDICAL CENTER 209B
SAN JUAN, PR 00907
San Juan Municipio (787) 724-9356
MR. ROBERTO LUIS NEVARES MD
Surgery (Surgery of the Hand)
29 WASHINGTON ST, STE 203
SAN JUAN, PR 00907
San Juan Municipio (787) 722-6220

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 Clyde Fasick's NPI number?

The NPI number for Clyde Fasick is 1851442669. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Clyde Fasick located?

Clyde Fasick practices at 29 Washington St Suite 808 Ashford Medical Center, San Juan, PR 00907. The listed phone number is (787) 725-4776.

What is Clyde Fasick's specialty?

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

Is Clyde Fasick enrolled in Medicare?

Yes. Clyde Fasick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clyde Fasick was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.