MS. CELESTE MARIE ECKERMAN DDS
NPI 1952568222
Dentist - General Practice in South Lake Tahoe, CA
About Ms. Celeste Marie Eckerman Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CELESTE MARIE ECKERMAN DDS (NPI 1952568222) is an individual general practice provider in South Lake Tahoe, California, licensed in California (56285) and active in the NPI registry since May 2008. She has opted out of Medicare through July 21, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Celeste Marie Eckerman Dds 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 July 21, 2016 through July 21, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96150 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.
SOUTH LAKE TAHOE, CA 96150
SOUTH LAKE TAHOE, CA 96150
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 Celeste Eckerman's NPI number?
The NPI number for Celeste Eckerman is 1952568222. It was assigned to this individual provider in the NPPES registry on May 22, 2008.
Where is Celeste Eckerman located?
Celeste Eckerman practices at 2074 Lake Tahoe Blvd Suite 4, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-4640.
What is Celeste Eckerman's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Celeste Eckerman enrolled in Medicare?
No. Celeste Eckerman has opted out of Medicare through July 21, 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 Celeste Eckerman was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ms. Celeste Marie Eckerman, DDS · NPI 1952568222
General Practice provider in South Lake Tahoe, California. Individual provider, active in the CMS NPPES registry since May 22, 2008.
## Identity
- **NPI:** 1952568222 (Entity type: Individual)
- **Enumerated:** May 22, 2008
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 56285 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2074 LAKE TAHOE BLVD, SUITE 4, South Lake Tahoe, CA 96150-6407
- **Phone:** (530) 541-4640 · **Fax:** (530) 541-3853
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 21, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 22, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1952568222) · Data from the CMS NPPES public registry.