DR. JAMES EDWARD VANDEWATER DMD
NPI 1689780736
Dentist in Ellisville, MO

Q: What is James Vandewater's NPI number?

The NPI number for James Vandewater is 1689780736. It was assigned to this individual provider in the NPPES registry on August 22, 2006. The provider is also known as Jay Vandewater Dmd.

Q: What is James Vandewater'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 James Vandewater was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 22, 2006PECOS Enrolled

164 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011(636) 394-7330(363) 394-7908 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2016, Feb 13, 2016 (2 updates tracked since 2016).

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About Dr. James Edward Vandewater Dmd NPPES

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

DR. JAMES EDWARD VANDEWATER DMD (NPI 1689780736) is an individual dentist in Ellisville, Missouri, licensed in Missouri (015342) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689780736

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JAMES EDWARD VANDEWATERCredential: DMD

Location Address164 CLARKSON EXECUTIVE PARKEllisville, MO 63011

Mailing Address164 Clarkson Executive ParkEllisville, MO 63011-2114 · (636) 394-7330 · Fax (636) 394-7908

Phone(636) 394-7330

Fax(363) 394-7908

Sole ProprietorNo

Enumeration DateAugust 22, 2006

Last NPPES UpdateFebruary 23, 20162 updates tracked since enumeration

✔ NPI 1689780736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MO · 015342✔ Licensed in IL · 019020310

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.

164 CLARKSON EXECUTIVE PARK, Ellisville, MO 63011

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Other Names 1

Other Name (5)Jay Vandewater Dmd

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. James Edward Vandewater Dmd 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 63011 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

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 Vandewater's NPI number?

The NPI number for James Vandewater is 1689780736. It was assigned to this individual provider in the NPPES registry on August 22, 2006. The provider is also known as Jay Vandewater Dmd.

Where is James Vandewater located?

James Vandewater practices at 164 Clarkson Executive Park, Ellisville, MO 63011. The listed phone number is (636) 394-7330.

What is James Vandewater's specialty?

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

Is James Vandewater enrolled in Medicare?

Yes. James Vandewater is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Vandewater was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.