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

ADAM JOSEPH JANETTE DDS
NPI 1104877380
Dentist - Oral and Maxillofacial Surgery in San Luis Obispo, CA

Active since May 13, 2006Opted out of Medicare · through Jun 14, 2027
77 CASA ST, SUITE 101, SAN LUIS OBISPO, CA 93405(805) 541-5611(805) 541-2328 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam Joseph Janette Dds NPPES

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

ADAM JOSEPH JANETTE DDS (NPI 1104877380) is an individual oral and maxillofacial surgery provider in San Luis Obispo, California, licensed in California (44324) and active in the NPI registry since May 2006. He has opted out of Medicare through June 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104877380
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameADAM JOSEPH JANETTECredential: DDS
Location Address77 CASA ST, SUITE 101San Luis Obispo, CA 93405-5803
Mailing Address77 Casa St, Suite 101San Luis Obispo, CA 93405-5803 · (805) 541-5611 · Fax (805) 541-2328
Fax(805) 541-2328
Sole ProprietorNo
Enumeration DateMay 13, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1104877380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 44324
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
77 CASA ST, San Luis Obispo, CA 93405

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Adam Joseph Janette 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 June 14, 2013 through June 14, 2027.

Opt-Out Effective DateJune 14, 2013
Opt-Out In Effect ThroughJune 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
77 CASA ST, SUITE 201-204
SAN LUIS OBISPO, CA 93405
Internal Medicine
77 CASA ST, SUITE 108
SAN LUIS OBISPO, CA 93405
Surgery
77 CASA ST, SUITE 103
SAN LUIS OBISPO, CA 93405
Chiropractor
77 CASA ST, 201
SAN LUIS OBISPO, CA 93405
Nurse Practitioner
77 CASA ST, SUITE 103
SAN LUIS OBISPO, CA 93405
Specialist
77 CASA ST, SUITE 203
SAN LUIS OBISPO, CA 93405
Dentist (Oral and Maxillofacial Surgery)
77 CASA ST, SUITE 101
SAN LUIS OBISPO, CA 93405
Social Worker (Clinical)
77 CASA ST
SAN LUIS OBISPO, CA 93405

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 Adam Janette's NPI number?

The NPI number for Adam Janette is 1104877380. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Adam Janette located?

Adam Janette practices at 77 Casa St Suite 101, San Luis Obispo, CA 93405. The listed phone number is (805) 541-5611.

What is Adam Janette's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Adam Janette enrolled in Medicare?

No. Adam Janette has opted out of Medicare through June 14, 2027. 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.

What insurance does Adam Janette accept?

Health plans from Humana list Adam Janette 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 Adam Janette was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.