DAVID JOHN VANDERBOOM DMD
NPI 1295867992
Dentist - General Practice in Chicopee, MA

Active since March 09, 2007PECOS Enrolled
1146 MEMORIAL DR, CHICOPEE, MA 01020(413) 593-8904(413) 593-5366 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David John Vanderboom Dmd NPPES

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

DAVID JOHN VANDERBOOM DMD (NPI 1295867992) is an individual general practice provider in Chicopee, Massachusetts, licensed in Massachusetts (21684) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295867992
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDAVID JOHN VANDERBOOMCredential: DMD
Location Address1146 MEMORIAL DRChicopee, MA 01020-3960
Mailing Address46 Republic DrBloomfield, CT 06002-5455 · (617) 471-0223
Fax(413) 593-5366
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1295867992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · 21684
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.

1146 MEMORIAL DR, Chicopee, MA 01020

Accepted 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)

David John Vanderboom Dmd 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 01020 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 4

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

Dentist (Pediatric Dentistry)
1146 MEMORIAL DR
CHICOPEE, MA 01020
Dentist (General Practice)
1146 MEMORIAL DR
CHICOPEE, MA 01020
Dentist
1146 MEMORIAL DR
CHICOPEE, MA 01020
Dentist (Pediatric Dentistry)
1146 MEMORIAL DR
CHICOPEE, MA 01020

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 David Vanderboom's NPI number?

The NPI number for David Vanderboom is 1295867992. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is David Vanderboom located?

David Vanderboom practices at 1146 Memorial Dr, Chicopee, MA 01020. The listed phone number is (413) 593-8904.

What is David Vanderboom's specialty?

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

Is David Vanderboom enrolled in Medicare?

Yes. David Vanderboom is registered in the Medicare PECOS enrollment system.

What insurance does David Vanderboom accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list David Vanderboom 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 David Vanderboom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.