Type 1 NPI is designated for an individual provider.
If the office bills insurance carriers under a single provider’s name and, therefore, receive
insurance reimbursement for the office using the individual provider’s name, the individual billing
provider’s entry in Denticon should be recorded using the Type 1 NPI.
Type 2 NPI is designated for a corporate entity.
If the office will bill insurance carriers under a corporate name and, therefore, receive insurance
reimbursement for the corporate entity, a corporate provider entry should be entered into
Denticon. The Type 2 NPI will be recorded for this provider entry.
Providers can apply online for their NPI, free of charge, by visiting https://nppes.cms.hhs.gov or
by calling 1-800-465-3203 to request a paper application.