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DR. VLADIMIR VADER DMD
NPI 1871020636
Dentist in Beale Afb, CA

Active since May 11, 2017PECOS Enrolled
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903(530) 634-4662 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2023, Jun 2, 2021, May 2, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Vladimir Vader Dmd NPPES

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

DR. VLADIMIR VADER DMD (NPI 1871020636) is an individual dentist in Beale Afb, California, licensed in Arizona (D009767) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871020636
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. VLADIMIR VADERCredential: DMD
Location Address15301 WARREN SHINGLE RDBeale Afb, CA 95903-1905
Mailing Address15301 Warren Shingle RdBeale Afb, CA 95903-1905 · (530) 634-4662
Phone(530) 634-4662
Sole ProprietorYes
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 6, 20236 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1871020636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D009767
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.
15301 WARREN SHINGLE RD, Beale Afb, CA 95903
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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. Vladimir Vader 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 95903 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 20

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

DR. TIMOTHY LON HALPIN D.O.
Family Medicine
15301 WARREN SHINGLE RD, 9TH MEDICAL GROUP CLINIC
BEALE AFB, CA 95903
Yuba County (530) 634-4699
DR. NATHANIEL DEAN FORD MD, MPH
Internal Medicine
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Yuba County (153) 063-4294
AMANDA S. MCINTYRE LCSW
Social Worker
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Yuba County (530) 634-3420
MICHELLE LYNN LAUGHLIN LCSW
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Yuba County (530) 634-3420
MS. TAMMY CHRISTINE DYER
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Yuba County (530) 634-0457
REBECCA LYNNE THOMPSON LCSW
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Yuba County (530) 634-3420
MRS. MOLLY ELIZABETH NOYES LCSW
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Yuba County (530) 632-8613
MS. MICHELLE L HARRING LCSW
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Yuba County (909) 904-6216

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 Vladimir Vader's NPI number?

The NPI number for Vladimir Vader is 1871020636. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Vladimir Vader located?

Vladimir Vader practices at 15301 Warren Shingle Rd, Beale Afb, CA 95903. The listed phone number is (530) 634-4662.

What is Vladimir Vader's specialty?

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

Is Vladimir Vader enrolled in Medicare?

Yes. Vladimir Vader is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vladimir Vader was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.