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DR. DARYL JAMES DUDUM D.D.S.
NPI 1881841252
Dentist - Endodontics in Novato, CA

Active since August 27, 2008PECOS Enrolled
1748 NOVATO BLVD STE 200, NOVATO, CA 94947(415) 898-7093(415) 898-0563 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daryl James Dudum D.d.s. NPPES

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

DR. DARYL JAMES DUDUM D.D.S. (NPI 1881841252) is an individual endodontics provider in Novato, California, licensed in California (57731) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881841252
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. DARYL JAMES DUDUMCredential: D.D.S.
Location Address1748 NOVATO BLVD STE 200Novato, CA 94947-7855
Mailing Address3495 Freeman RdWalnut Creek, CA 94595-1311 · (310) 266-6515 · Fax (415) 898-0563
Phone(415) 898-7093
Fax(415) 898-0563
Sole ProprietorYes
Enumeration DateAugust 27, 2008
Last NPPES UpdateMarch 27, 2014
✔ NPI 1881841252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in CA · 57731✔ Licensed in TX · 25288
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 10267 (MA)
1748 NOVATO BLVD STE 200, Novato, CA 94947
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Daryl James Dudum D.d.s. 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 94947 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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 Daryl Dudum's NPI number?

The NPI number for Daryl Dudum is 1881841252. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Daryl Dudum located?

Daryl Dudum practices at 1748 Novato Blvd Ste 200, Novato, CA 94947. The listed phone number is (415) 898-7093.

What is Daryl Dudum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Daryl Dudum enrolled in Medicare?

Yes. Daryl Dudum is registered in the Medicare PECOS enrollment system.

What insurance does Daryl Dudum accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and UnitedHealthcare list Daryl Dudum 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 Daryl Dudum was last updated on March 27, 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.