DR. MICHEL DACCACHE (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1285881243
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MICHEL DACCACHE (DDS)
520, West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89102, United States
LAS VEGAS, NV 891022309
Phone: (702) 750-9444
Type: Location
2199, Stage Stop Drive, Sunridge Heights, Henderson, Clark County, Nevada, 89052, United States
HENDERSON, NV 890525825
Phone: (775) 750-6789
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $366.
Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Southern Implants North America Inc ($194).
Total Amount
$366
General + Research + Ownership
Payments
4
Total payment records
General Amount
$366
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Southern Implants North America Inc | $194 |
| Nobel Biocare USA | $142 |
| DePuy Synthes Sales Inc. | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171213000559 | I | Oral Surgery | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89102)
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