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

Q: What is John Vestal's NPI number?

The NPI number for John Vestal is 1417940727. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is John Vestal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Vestal was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 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: August 16, 2026.

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

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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

Phone(970) 565-3612

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

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Alton Vestal Iii D.d.s. 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 81321 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 2

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

TAVAMUWISI DENTAL GROUP PLLC

Clinic/Center (Dental)

302 W MONTEZUMA AVE
CORTEZ, CO 81321

Montezuma County (970) 565-3612

4 CORNERS DENTAL SLEEP SOLUTIONS LLC

Durable Medical Equipment & Medical Supplies

302 W MONTEZUMA AVE
CORTEZ, CO 81321

Montezuma County (970) 565-3612

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 John Vestal's NPI number?

The NPI number for John Vestal is 1417940727. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is John Vestal located?

John Vestal practices at 302 W Montezuma Ave, Cortez, CO 81321. The listed phone number is (970) 565-3612.

What is John Vestal's specialty?

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

Is John Vestal enrolled in Medicare?

Yes. John Vestal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Vestal was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.