DR. ETIENNE LACRAMPE D.M.D.
NPI 1952529661
Dentist - Periodontics in Walnut Creek, CA

Q: What is Etienne Lacrampe's NPI number?

The NPI number for Etienne Lacrampe is 1952529661. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Q: What is Etienne Lacrampe's specialty?

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

Q: Is Etienne Lacrampe enrolled in Medicare?

No. Etienne Lacrampe has opted out of Medicare through April 24, 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.

Q: When was this NPI record last updated?

The NPPES record for Etienne Lacrampe was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 20, 2007Opted out of Medicare · through Apr 24, 2028

1844 SAN MIGUEL DR STE 209, WALNUT CREEK, CA 94596(925) 937-6350(925) 937-6352 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Etienne Lacrampe D.m.d. NPPES

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

DR. ETIENNE LACRAMPE D.M.D. (NPI 1952529661) is an individual periodontics provider in Walnut Creek, California, licensed in California (58771) and active in the NPI registry since April 2007. He has opted out of Medicare through April 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952529661

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. ETIENNE LACRAMPECredential: D.M.D.

Location Address1844 SAN MIGUEL DR STE 209Walnut Creek, CA 94596-4913

Mailing Address11982 Ne Glisan StPortland, OR 97220-2143 · (503) 257-8787

Phone(925) 937-6350

Fax(925) 937-6352

Sole ProprietorNo

Enumeration DateApril 20, 2007

Last NPPES UpdateOctober 22, 2021

NPPES CertifiedOctober 22, 2021

✔ NPI 1952529661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 58771

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.

1844 SAN MIGUEL DR STE 209, Walnut Creek, CA 94596

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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. Etienne Lacrampe D.m.d. 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 April 24, 2026 through April 24, 2028.

Opt-Out Effective DateApril 24, 2026

Opt-Out In Effect ThroughApril 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94596 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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

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

ROBERT T MARKS DDS

Dentist (Periodontics)

1844 SAN MIGUEL DR STE 209
WALNUT CREEK, CA 94596

Contra Costa County (925) 937-6350

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 Etienne Lacrampe's NPI number?

The NPI number for Etienne Lacrampe is 1952529661. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Etienne Lacrampe located?

Etienne Lacrampe practices at 1844 San Miguel Dr Ste 209, Walnut Creek, CA 94596. The listed phone number is (925) 937-6350.

What is Etienne Lacrampe's specialty?

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

Is Etienne Lacrampe enrolled in Medicare?

No. Etienne Lacrampe has opted out of Medicare through April 24, 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 Etienne Lacrampe was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.