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DR. JENNIFER DECOTA D.D.S.
NPI 1780806109
Dentist - General Practice in Fenton, MO

Active since May 03, 2007PECOS Enrolled
1391 SMIZER MILL RD, SUITE 104, FENTON, MO 63026(636) 349-2400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jennifer Decota D.d.s. NPPES

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

DR. JENNIFER DECOTA D.D.S. (NPI 1780806109) is an individual general practice provider in Fenton, Missouri, licensed in Missouri (2000158416) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780806109
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER DECOTACredential: D.D.S.
Location Address1391 SMIZER MILL RD, SUITE 104Fenton, MO 63026-7306
Mailing Address1391 Smizer Mill Rd, Suite 104Fenton, MO 63026-7306 · (636) 349-2400
Phone(636) 349-2400
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780806109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2000158416
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1391 SMIZER MILL RD, Fenton, MO 63026
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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. Jennifer Decota 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 63026 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.

Other Providers at the Same Location NPPES 9

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

DR. VITO VRICELLA O.D.
Optometrist
1391 SMIZER MILL RD, SUITE 102
FENTON, MO 63026
St. Louis County (636) 305-9600
DAY OPTOMETRY, INC.
Eyewear Supplier
1391 SMIZER MILL RD, SUITE 102
FENTON, MO 63026
St. Louis County (636) 305-9600
ANGELA DURHAM DPT
Physical Therapist
1391 SMIZER MILL RD
FENTON, MO 63026
St. Louis County (636) 305-3000
DR. JERALD A MASLANKO M.D.
Internal Medicine
1391 SMIZER MILL RD
FENTON, MO 63026
St. Louis County (636) 343-3787
EMILY TIEDEMANN DPT
Physical Therapist
1391 SMIZER MILL RD
FENTON, MO 63026
St. Louis County (636) 529-8000
KRISTIN N REIN DPT
Physical Therapist
1391 SMIZER MILL RD
FENTON, MO 63026
St. Louis County (636) 305-3000
DR. ADAM DECOTA D.D.S.
Dentist (General Practice)
1391 SMIZER MILL RD, SUITE 104
FENTON, MO 63026
St. Louis County (636) 349-2400
FENTON FAMILY EYECARE, LLC
Optometrist
1391 SMIZER MILL RD, SUITE 102
FENTON, MO 63026
St. Louis County (636) 305-9600

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 Jennifer Decota's NPI number?

The NPI number for Jennifer Decota is 1780806109. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Jennifer Decota located?

Jennifer Decota practices at 1391 Smizer Mill Rd Suite 104, Fenton, MO 63026. The listed phone number is (636) 349-2400.

What is Jennifer Decota's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennifer Decota enrolled in Medicare?

Yes. Jennifer Decota is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Decota was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.