DR. JOE ALLAN PROVINES D.M.D.
NPI 1124118914
Dentist - Periodontics in Mountain View, CA

Q: What is Joe Provines's NPI number?

The NPI number for Joe Provines is 1124118914. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Joe Provines's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Joe Provines was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since October 13, 2006PECOS Enrolled

105 SOUTH DR, SUITE 200, MOUNTAIN VIEW, CA 94040(650) 964-4867(650) 964-4864 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Joe Allan Provines D.m.d. NPPES

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

DR. JOE ALLAN PROVINES D.M.D. (NPI 1124118914) is an individual periodontics provider in Mountain View, California, licensed in California (20440) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124118914

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JOE ALLAN PROVINESCredential: D.M.D.

Location Address105 SOUTH DR, SUITE 200Mountain View, CA 94040-4311

Mailing Address877 W Fremont Ave, Ste I2Sunnyvale, CA 94087-2319 · (650) 964-4867 · Fax (650) 964-4864

Phone(650) 964-4867

Fax(650) 964-4864

Sole ProprietorYes

Enumeration DateOctober 13, 2006

Last NPPES UpdateApril 4, 2016

✔ NPI 1124118914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 20440

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

105 SOUTH DR, Mountain View, CA 94040

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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. Joe Allan Provines D.m.d. 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 94040 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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 5

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

HEALTH DIAGNOSTICS OF CALIFORNIA, LLC

Radiology (Diagnostic Radiology)

105 SOUTH DR, SUITE 110
MOUNTAIN VIEW, CA 94040

Santa Clara County (650) 254-1355

MED-ECON PHARMACY INC

Pharmacy (Community/Retail Pharmacy)

105 SOUTH DR, STE 100
MOUNTAIN VIEW, CA 94040

Santa Clara County (650) 968-3535

DONG SHEN DDS INC

Dentist (General Practice)

105 SOUTH DR, SUITE 140
MOUNTAIN VIEW, CA 94040

Santa Clara County (650) 938-1868

DR. PATRICK FRANCIS MCEVOY DDS

Dentist (General Practice)

105 SOUTH DR, SUITE 200
MOUNTAIN VIEW, CA 94040

Santa Clara County (650) 969-2600

HEALTH DIAGNOSTICS OF CALIFORNIA LLC

Radiology (Diagnostic Radiology)

105 SOUTH DR, SUITE 110
MOUNTAIN VIEW, CA 94040

Santa Clara County (650) 254-1355

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 Joe Provines's NPI number?

The NPI number for Joe Provines is 1124118914. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Joe Provines located?

Joe Provines practices at 105 South Dr Suite 200, Mountain View, CA 94040. The listed phone number is (650) 964-4867.

What is Joe Provines's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Joe Provines enrolled in Medicare?

Yes. Joe Provines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joe Provines was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.