DR. KATHERINE TALITHA ANNE VANCE DDS
NPI 1457966566
Dentist in San Bernardino, CA

Q: What is Katherine Vance's NPI number?

The NPI number for Katherine Vance is 1457966566. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Q: What is Katherine Vance'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 Katherine Vance was last updated on November 15, 2022. 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 September 15, 2020PECOS Enrolled

328 COMMERCIAL RD STE 104, SAN BERNARDINO, CA 92408(909) 799-9988 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2022, Sep 15, 2020 (2 updates tracked since 2020).

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About Dr. Katherine Talitha Anne Vance Dds NPPES

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

DR. KATHERINE TALITHA ANNE VANCE DDS (NPI 1457966566) is an individual dentist in San Bernardino, California, licensed in California (108262) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Thief River Falls.

NPPES Registry Identity

NPI1457966566

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KATHERINE TALITHA ANNE VANCECredential: DDS

Location Address328 COMMERCIAL RD STE 104San Bernardino, CA 92408-3766

Mailing Address4886 Gardenia StOceanside, CA 92057-5431 · (218) 689-6363

Phone(909) 799-9988

Sole ProprietorYes

Enumeration DateSeptember 15, 2020

Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration

NPPES CertifiedNovember 15, 2022

✔ NPI 1457966566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 108262

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 ListedDentist · General PracticeTaxonomy 1223G0001X · License D14482 (MN)

328 COMMERCIAL RD STE 104, San Bernardino, CA 92408

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Secondary Practice Location 1

Location 11600 1st St EThief River Falls, MN 56701-2404 · Phone (218) 681-1700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Dr. Katherine Talitha Anne Vance Dds 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 92408 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

DR. ROBERT JACOB WAGNER III DDS

Dentist (General Practice)

328 COMMERCIAL RD STE 104
SAN BERNARDINO, CA 92408

San Bernardino County (909) 799-9988

ROBERT J WAGNER DDS, INC.

Clinic/Center (Dental)

328 COMMERCIAL RD STE 104
SAN BERNARDINO, CA 92408

San Bernardino County (909) 799-9988

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 Katherine Vance's NPI number?

The NPI number for Katherine Vance is 1457966566. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Katherine Vance located?

Katherine Vance practices at 328 Commercial Rd Ste 104, San Bernardino, CA 92408. The listed phone number is (909) 799-9988.

What is Katherine Vance's specialty?

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

Is Katherine Vance enrolled in Medicare?

Yes. Katherine Vance is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Vance accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Katherine Vance 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 Katherine Vance was last updated on November 15, 2022. 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.