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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SHANE DANIEL VANIA DDS
NPI 1083642722
Dentist - General Practice in Boise, ID

Active since June 29, 2006PECOS Enrolled
900 N LIBERTY ST STE 304, BOISE, ID 83704(208) 407-0079 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shane Daniel Vania Dds NPPES

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

DR. SHANE DANIEL VANIA DDS (NPI 1083642722) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D3895) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083642722
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANE DANIEL VANIACredential: DDS
Location Address900 N LIBERTY ST STE 304Boise, ID 83704-8729
Mailing Address304 Sun Burst WayBoise, ID 83709-0661
Phone(208) 407-0079
Sole ProprietorYes
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1083642722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D3895
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
900 N LIBERTY ST STE 304, Boise, ID 83704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shane Daniel Vania Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

JEFFREY B. KESLING, DDS
Dentist
900 N LIBERTY ST STE 304
BOISE, ID 83704
Ada County (208) 344-2747

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 Shane Vania's NPI number?

The NPI number for Shane Vania is 1083642722. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Shane Vania located?

Shane Vania practices at 900 N Liberty St Ste 304, Boise, ID 83704. The listed phone number is (208) 407-0079.

What is Shane Vania's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shane Vania enrolled in Medicare?

Yes. Shane Vania is registered in the Medicare PECOS enrollment system.

What insurance does Shane Vania accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Shane Vania as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Vania was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.