DR. DIONDRE LAMAR VENABLE DDS
NPI 1689006025
Dentist in Fort Drum, NY

Active since August 08, 2013Opted out of Medicare · through Mar 28, 2027
10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 13602(315) 772-6234(315) 774-3558 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Diondre Lamar Venable Dds NPPES

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

DR. DIONDRE LAMAR VENABLE DDS (NPI 1689006025) is an individual dentist in Fort Drum, New York, licensed in Pennsylvania (DS039798) and active in the NPI registry since August 2013. He has opted out of Medicare through March 28, 2027.

NPPES Registry Identity

NPI1689006025
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DIONDRE LAMAR VENABLECredential: DDS
Location Address10590 ENDURING FREEDOM DRIVEFort Drum, NY 13602
Mailing Address10590 Enduring Freedom DriveFort Drum, NY 13602 · (315) 772-6234 · Fax (315) 774-3558
Fax(315) 774-3558
Sole ProprietorYes
Enumeration DateAugust 8, 2013
Last NPPES UpdateJune 1, 2016
NPI 1689006025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in PA · DS039798
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.

10590 ENDURING FREEDOM DRIVE, Fort Drum, NY 13602

Accepted Insurance

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. Diondre Lamar Venable 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 March 28, 2023 through March 28, 2027.

Opt-Out Effective DateMarch 28, 2023
Opt-Out In Effect ThroughMarch 28, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13602 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 11

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

Dentist
10590 ENDURING FREEDOM DRIVE
FORT DRUM, NY 13602
Dentist (General Practice)
10590 ENDURING FREEDOM DRIVE
FORT DRUM, NY 13602
Dentist
10590 ENDURING FREEDOM DRIVE
FORT DRUM, NY 13602
Dental Hygienist
10590 ENDURING FREEDOM DRIVE
FORT DRUM, NY 13602
Dentist (General Practice)
10590 ENDURING FREEDOM DRIVE
FORT DRUM, NY 13602
Dentist (General Practice)
10590 ENDURING FREEDOM DRIVE, US ARMY DENTAL ACTIVITY
FORT DRUM, NY 13602
Clinic/Center (Military/U.S. Coast Guard Outpatient)
10590 ENDURING FREEDOM DRIVE
FORT DRUM, NY 13602
Dental Hygienist
10590 ENDURING FREEDOM DRIVE, US ARMY DENTAL ACTIVITY
FORT DRUM, NY 13602

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 Diondre Venable's NPI number?

The NPI number for Diondre Venable is 1689006025. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Where is Diondre Venable located?

Diondre Venable practices at 10590 Enduring Freedom Drive, Fort Drum, NY 13602. The listed phone number is (315) 772-6234.

What is Diondre Venable's specialty?

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

Is Diondre Venable enrolled in Medicare?

No. Diondre Venable has opted out of Medicare through March 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Diondre Venable accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Diondre Venable 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 Diondre Venable was last updated on June 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.