JOHN ALTON VESTAL III D.D.S.
NPI 1417940727
Dentist in Cortez, CO

Active since August 23, 2005PECOS Enrolled
302 W MONTEZUMA AVE, CORTEZ, CO 81321(970) 565-3612(970) 565-6069 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 20, 2023, Feb 13, 2023, Jun 10, 2019 (3 updates tracked since 2019).

About John Alton Vestal Iii D.d.s. NPPES

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

JOHN ALTON VESTAL III D.D.S. (NPI 1417940727) is an individual dentist in Cortez, Colorado, licensed in Colorado (7935) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417940727
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOHN ALTON VESTAL IIICredential: D.D.S.
Location Address302 W MONTEZUMA AVECortez, CO 81321-2750
Mailing Address302 W Montezuma AveCortez, CO 81321-2750 · (970) 565-3612 · Fax (970) 565-6069
Fax(970) 565-6069
Sole ProprietorYes
Enumeration DateAugust 23, 2005
Last NPPES UpdateFebruary 20, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
NPI 1417940727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CO · 7935
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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 7935 (CO)
302 W MONTEZUMA AVE, Cortez, CO 81321

Medicare Participation & PECOS Enrollment Status

John Vestal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 81321 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.43
  • Minimum New Patient Price $58.06
  • Maximum New Patient Price $174.82
  • Average New Patient Copayment $22.35
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $43.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.2
  • Minimum Established Patient Price $18.88
  • Maximum Established Patient Price $142.79
  • Average Established Patient Copayment $18.05
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $35.69

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
302 W MONTEZUMA AVE
CORTEZ, CO 81321
Clinic/Center (Dental)
302 W MONTEZUMA AVE
CORTEZ, CO 81321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417940727, enumerated as an "individual" on August 23, 2005.

The provider is located at 302 W MONTEZUMA AVE CORTEZ, CO 81321 and the phone number is (970) 565-3612.

Dentist with taxonomy code 122300000X.