DR. COURY STAADECKER D.D.S., M.S.
NPI 1932258332
Dentist - Periodontics in Irvine, CA

Q: What is Coury Staadecker's NPI number?

The NPI number for Coury Staadecker is 1932258332. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Coury Staadecker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Coury Staadecker was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 09, 2007PECOS Enrolled

405 ROCKEFELLER, 504, IRVINE, CA 92612(619) 665-2705 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Coury Staadecker D.d.s., M.s. NPPES

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

DR. COURY STAADECKER D.D.S., M.S. (NPI 1932258332) is an individual periodontics provider in Irvine, California, licensed in California (48025) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932258332

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. COURY STAADECKERCredential: D.D.S., M.S.

Location Address405 ROCKEFELLER, 504Irvine, CA 92612-7188

Mailing Address1441 Avocado Ave, 405Newport Beach, CA 92660-7721 · (949) 640-9475 · Fax (949) 640-2621

Phone(619) 665-2705

Sole ProprietorYes

Enumeration DateJanuary 9, 2007

Last NPPES UpdateMay 17, 2012

✔ NPI 1932258332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 48025

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

405 ROCKEFELLER, Irvine, CA 92612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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. Coury Staadecker D.d.s., M.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 92612 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 Coury Staadecker's NPI number?

The NPI number for Coury Staadecker is 1932258332. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Coury Staadecker located?

Coury Staadecker practices at 405 Rockefeller 504, Irvine, CA 92612. The listed phone number is (619) 665-2705.

What is Coury Staadecker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Coury Staadecker enrolled in Medicare?

Yes. Coury Staadecker is registered in the Medicare PECOS enrollment system.

What insurance does Coury Staadecker accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Coury Staadecker 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 Coury Staadecker was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.