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NPI Application Help
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Topics:
Welcome Page / User Menu
Create Login For Existing NPI Page
Reset Password Page
Individual Profile Page
Address Standardization Page
Add Other Identification Number Page
Select Taxonomy Page 1
Contact Person Page
Change Processing Page
Deactivate NPI Page
Application Security Check page
Login Page
Change Password Page
Organization Profile Page
Business Practice Location Address Page
Delete Other Identification Number Confirmation Page
Select Taxonomy Page 2
Certification Page
View Application Page
Create User ID and Password Page
Change Secret Question and Answer Page
Select Entity Type Page
Business Mailing Address Page
Other Identification Numbers Page
Taxonomy / License Page
Select Group Type Page
Processing Page
NPI Enumerator Contact Information
Individual Profile Page
This page is only accessible to individual providers. (includes Sole Proprietorship and Incorporated Individuals). (Entity Type 1)

Provider Name Information:
1. Provide your full legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.

Other Name Information:
2. If you have used another name, including a maiden name, supply that "Other Name" in this area. (Optional). The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.

3. Select the type of "Other Name" you used. (Required if Other Name Information is completed)

Other Identifying Information:
4. If this is a new application, provide your date of birth(DOB)(Required). Providers who enter DOBs more than 75 years of age will receive a warning message but will not be prohibited from submitting their application. Providers who enter DOBs less than 18 years of age will receive an error message. Providers under the age of 18 who wish to obtain an NPI must apply for an NPI via paper application (Form CMS-10114) and send the completed signed application to the NPI Enumerator. Providers who already have NPIs, the DOB will not be displayed on this page for privacy reasons. If you want to correct your DOB, please contact the NPI Enumerator at 1-800-465-3203.

5. If this is a new application, furnish your Social Security Number (SSN) for purposes of unique identification. (Required) For providers who already have NPIs, SSN will not be displayed on this page for privacy reasons. If you want to correct your SSN, please contact the NPI Enumerator at 1-800-465-3203.

If you do not have an SSN, you will not be allowed to apply for an NPI via the web. Please contact the NPI Enumerator to submit a paper application. For providers who already have NPIs and were enumerated previously with an ITIN, the ITIN will not be displayed on this page for privacy reasons and the provider will be required to submit a SSN in order to successfully submit any changes via the web. If you do not have a SSN, all changes will have to be made by submitting a paper change request to the NPI Enumerator.

6. Provide the State, and Country of your birth. (Required)

7. Indicate your gender. (Required)

8. Indicate whether you are a sole proprietor. (Required)
• A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
• In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
• There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
• In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
• As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
• A sole proprietorship may or may not have employees.
• Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor’s SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship’s EIN.
• Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).

NOTE:An individual may obtain only one NPI, regardless of the number of taxonomies (specialties), licenses, or business practice locations he/she may possess. A sole proprietorship is an individual.
NOTE: SSNs can only be entered in the SSN field. If a SSN is entered in any other field, NPPES will display an error message, indicating that a SSN has been entered in a non SSN field. You are required to update those fields in order to continue to the next page in the application. If a 9-digit contiguous number is entered in a non numeric field and the 9-digit number is not the SSN entered on the record, NPPES will display a warning message, indicating that a 9-digit contiguous number has been found in a non numeric field when the Next button is clicked. You can either update the field value or click the Next button again to accept the 9-digit number.