DR. JEFFREY PAUL VALLIERE DDS
NPI 1528598638
Dentist in Fort Wayne, IN

Active since June 13, 2017PECOS Enrolled
1330 E STATE BLVD, FORT WAYNE, IN 46805(260) 484-5614 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 19, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Dr. Jeffrey Paul Valliere Dds NPPES

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

DR. JEFFREY PAUL VALLIERE DDS (NPI 1528598638) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12012713A) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528598638
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEFFREY PAUL VALLIERECredential: DDS
Location Address1330 E STATE BLVDFort Wayne, IN 46805-4422
Mailing Address1330 E State BlvdFort Wayne, IN 46805-4422
Sole ProprietorYes
Enumeration DateJune 13, 2017
Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
NPI 1528598638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IN · 12012713A
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.
1330 E STATE BLVD, Fort Wayne, IN 46805

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. Jeffrey Paul Valliere 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 46805 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 4

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

Dentist
1330 E STATE BLVD
FORT WAYNE, IN 46805
Clinic/Center (Dental)
1330 E STATE BLVD
FORT WAYNE, IN 46805
Dentist
1330 E STATE BLVD
FORT WAYNE, IN 46805
Dentist
1330 E STATE BLVD
FORT WAYNE, IN 46805

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 Jeffrey Valliere's NPI number?

The NPI number for Jeffrey Valliere is 1528598638. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Jeffrey Valliere located?

Jeffrey Valliere practices at 1330 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 484-5614.

What is Jeffrey Valliere's specialty?

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

Is Jeffrey Valliere enrolled in Medicare?

Yes. Jeffrey Valliere is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Valliere was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.