Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES ELI VANGILDER IV DDS
NPI 1629054473
Dentist - Oral and Maxillofacial Surgery in Apo, AP

Q: What is James Vangilder's NPI number?

The NPI number for James Vangilder is 1629054473. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is James Vangilder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is James Vangilder enrolled in Medicare?

No. James Vangilder has opted out of Medicare through June 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for James Vangilder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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 December 22, 2005Opted out of Medicare · through Jun 23, 2028

18TH DENTAL SQUADRON, UNIT 5270, APO, AP 96368(315) 630-4902 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Jul 21, 2022 (2 updates tracked since 2022).

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About Dr. James Eli Vangilder Iv Dds NPPES

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

DR. JAMES ELI VANGILDER IV DDS (NPI 1629054473) is an individual oral and maxillofacial surgery provider in Apo, AP, licensed in Indiana (12009985A) and active in the NPI registry since December 2005. He has opted out of Medicare through June 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629054473

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JAMES ELI VANGILDER IVCredential: DDS

Location Address18TH DENTAL SQUADRON, UNIT 5270Apo, AP 96368-5270

Mailing AddressPsc 80 Box 10445Apo, AP 96367

Phone(315) 630-4902

Sole ProprietorNo

Enumeration DateDecember 22, 2005

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1629054473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IN · 12009985A

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James Eli Vangilder Iv Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 23, 2012 through June 23, 2028.

Opt-Out Effective DateJune 23, 2012

Opt-Out In Effect ThroughJune 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

DR. ROBERT FRANKLIN BLODGETT JR. DMD, MS

Dentist (Periodontics)

18TH DENTAL SQUADRON, UNIT 5270
APO, AP 96368

(611) 730-4882

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 James Vangilder's NPI number?

The NPI number for James Vangilder is 1629054473. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is James Vangilder located?

James Vangilder practices at 18th Dental Squadron Unit 5270, Apo, AP 96368. The listed phone number is (315) 630-4902.

What is James Vangilder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is James Vangilder enrolled in Medicare?

No. James Vangilder has opted out of Medicare through June 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for James Vangilder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.