DR. DOUGLAS W VIERRA D.D.S.
NPI 1154326270
Dentist - General Practice in San Jose, CA

Q: What is Douglas Vierra's NPI number?

The NPI number for Douglas Vierra is 1154326270. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Q: What is Douglas Vierra's specialty?

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

Q: Is Douglas Vierra enrolled in Medicare?

No. Douglas Vierra has opted out of Medicare through March 4, 2028. 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.

Q: When was this NPI record last updated?

The NPPES record for Douglas Vierra was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 15, 2005Opted out of Medicare · through Mar 4, 2028

4205 SAN FELIPE ROAD, SUITE 200, SAN JOSE, CA 95135(408) 270-4333 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Douglas W Vierra D.d.s. NPPES

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

DR. DOUGLAS W VIERRA D.D.S. (NPI 1154326270) is an individual general practice provider in San Jose, California, licensed in California (032626) and active in the NPI registry since June 2005. He has opted out of Medicare through March 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154326270

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DOUGLAS W VIERRACredential: D.D.S.

Location Address4205 SAN FELIPE ROAD, SUITE 200San Jose, CA 95135-1505

Mailing Address4205 San Felipe Road, Suite 200San Jose, CA 95135-1505 · (408) 270-4333

Phone(408) 270-4333

Sole ProprietorNo

Enumeration DateJune 15, 2005

Last NPPES UpdateAugust 14, 2014

✔ NPI 1154326270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 032626

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.

4205 SAN FELIPE ROAD, San Jose, CA 95135

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Douglas W Vierra D.d.s. 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 March 4, 2016 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2016

Opt-Out In Effect ThroughMarch 4, 2028Opt-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 95135 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.

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 Douglas Vierra's NPI number?

The NPI number for Douglas Vierra is 1154326270. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Douglas Vierra located?

Douglas Vierra practices at 4205 San Felipe Road Suite 200, San Jose, CA 95135. The listed phone number is (408) 270-4333.

What is Douglas Vierra's specialty?

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

Is Douglas Vierra enrolled in Medicare?

No. Douglas Vierra has opted out of Medicare through March 4, 2028. 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.

When was this NPI record last updated?

The NPPES record for Douglas Vierra was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.