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DR. SAMUEL ZACHARY TANNER D.D.S.
NPI 1588092738
Dentist in Grand Junction, CO

Active since October 25, 2013PECOS Enrolled
604 25 RD STE B, GRAND JUNCTION, CO 81505(970) 822-7722(970) 822-7616 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Jun 13, 2025, Jan 26, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Samuel Zachary Tanner D.d.s. NPPES

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

DR. SAMUEL ZACHARY TANNER D.D.S. (NPI 1588092738) is an individual dentist in Grand Junction, Colorado, licensed in Colorado (00202107) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588092738
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMUEL ZACHARY TANNERCredential: D.D.S.
Location Address604 25 RD STE BGrand Junction, CO 81505-1202
Mailing Address604 25 Rd Ste BGrand Junction, CO 81505-1202 · (970) 822-7722 · Fax (970) 822-7616
Phone(970) 822-7722
Fax(970) 822-7616
Sole ProprietorNo
Enumeration DateOctober 25, 2013
Last NPPES UpdateAugust 15, 20256 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1588092738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CO · 00202107✔ Licensed in TX · 34705✔ Licensed in AZ · 10592
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.
604 25 RD STE B, Grand Junction, CO 81505
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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. Samuel Zachary Tanner 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 81505 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

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

TABEGUACHE DENTAL PLLC
Clinic/Center (Dental)
604 25 RD STE B
GRAND JUNCTION, CO 81505
Mesa County (970) 822-7722

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 Samuel Tanner's NPI number?

The NPI number for Samuel Tanner is 1588092738. It was assigned to this individual provider in the NPPES registry on October 25, 2013.

Where is Samuel Tanner located?

Samuel Tanner practices at 604 25 Rd Ste B, Grand Junction, CO 81505. The listed phone number is (970) 822-7722.

What is Samuel Tanner's specialty?

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

Is Samuel Tanner enrolled in Medicare?

Yes. Samuel Tanner is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Tanner accept?

Health plans from BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Samuel Tanner 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 Samuel Tanner was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.