DR. AMANDA LYNN DELWICHE D.D.S
NPI 1316111081
Dentist - General Practice in Santa Rosa, CA

Q: What is Amanda Delwiche's NPI number?

The NPI number for Amanda Delwiche is 1316111081. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Q: What is Amanda Delwiche's specialty?

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

Q: Is Amanda Delwiche enrolled in Medicare?

No. Amanda Delwiche has opted out of Medicare through May 31, 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.

Q: When was this NPI record last updated?

The NPPES record for Amanda Delwiche was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 14, 2008Opted out of Medicare · through May 31, 2027

2801 YULUPA AVE, SUITE D, SANTA ROSA, CA 95405(707) 526-6165(707) 526-6238 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Amanda Lynn Delwiche D.d.s NPPES

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

DR. AMANDA LYNN DELWICHE D.D.S (NPI 1316111081) is an individual general practice provider in Santa Rosa, California, licensed in California (51915) and active in the NPI registry since April 2008. She has opted out of Medicare through May 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316111081

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. AMANDA LYNN DELWICHECredential: D.D.S

Location Address2801 YULUPA AVE, SUITE DSanta Rosa, CA 95405-9115

Mailing Address2801 Yulupa Ave, Suite DSanta Rosa, CA 95405-9115 · (707) 526-6165 · Fax (707) 526-6238

Phone(707) 526-6165

Fax(707) 526-6238

Sole ProprietorYes

Enumeration DateApril 14, 2008

✔ NPI 1316111081 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 · 51915

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.

2801 YULUPA AVE, Santa Rosa, CA 95405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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

Dr. Amanda Lynn Delwiche 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 May 31, 2017 through May 31, 2027.

Opt-Out Effective DateMay 31, 2017

Opt-Out In Effect ThroughMay 31, 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 95405 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

MERSEDEH POURADIB D.D.S

Dentist

2801 YULUPA AVE
SANTA ROSA, CA 95405

Sonoma County (707) 544-8338

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 Amanda Delwiche's NPI number?

The NPI number for Amanda Delwiche is 1316111081. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Amanda Delwiche located?

Amanda Delwiche practices at 2801 Yulupa Ave Suite D, Santa Rosa, CA 95405. The listed phone number is (707) 526-6165.

What is Amanda Delwiche's specialty?

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

Is Amanda Delwiche enrolled in Medicare?

No. Amanda Delwiche has opted out of Medicare through May 31, 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 Amanda Delwiche accept?

Health plans from Humana list Amanda Delwiche 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 Amanda Delwiche was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.