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JAN-RYAN DANE DMD
NPI 1356884381
Dentist in Pago Pago, AMERICAN SAMOA

Active since November 22, 2016PECOS Enrolled
PETESA ROAD, PAGO PAGO, AMERICAN SAMOA 96799(684) 699-6380(684) 699-6374 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jan-ryan Dane Dmd NPPES

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

JAN-RYAN DANE DMD (NPI 1356884381) is an individual dentist in Pago Pago, AMERICAN SAMOA, licensed in American Samoa (4071-C) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356884381
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAN-RYAN DANECredential: DMD
Location AddressPETESA ROADPago Pago, AMERICAN SAMOA 96799
Mailing AddressPetesa RoadPago Pago, AMERICAN SAMOA 96799 · (684) 699-6380 · Fax (684) 699-6374
Phone(684) 699-6380
Fax(684) 699-6374
Sole ProprietorYes
Enumeration DateNovember 22, 2016
Last NPPES UpdateNovember 23, 2016
✔ NPI 1356884381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AS · 4071-C
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
PETESA ROAD, Pago Pago, AMERICAN SAMOA 96799
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Other Identifiers 1

Medicaid9740676AS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jan-ryan Dane 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 96799 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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 Jan-ryan Dane's NPI number?

The NPI number for Jan-ryan Dane is 1356884381. It was assigned to this individual provider in the NPPES registry on November 22, 2016.

Where is Jan-ryan Dane located?

Jan-ryan Dane practices at Petesa Road, Pago Pago, AMERICAN SAMOA 96799. The listed phone number is (684) 699-6380.

What is Jan-ryan Dane's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jan-ryan Dane enrolled in Medicare?

Yes. Jan-ryan Dane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jan-ryan Dane was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.