DR. WAGNER DE LUCA FARIA DDS
NPI 1912017302
Dentist - General Practice in San Bernardino, CA

Q: What is Wagner Faria's NPI number?

The NPI number for Wagner Faria is 1912017302. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Wagner Faria's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wagner Faria was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 30, 2006PECOS Enrolled

143 N PLYMOUTH WAY, SAN BERNARDINO, CA 92408(909) 533-4139 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Wagner De Luca Faria Dds NPPES

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

DR. WAGNER DE LUCA FARIA DDS (NPI 1912017302) is an individual general practice provider in San Bernardino, California, licensed in California (44169) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912017302

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WAGNER DE LUCA FARIACredential: DDS

Location Address143 N PLYMOUTH WAYSan Bernardino, CA 92408-4173

Mailing Address143 N Plymouth WaySan Bernardino, CA 92408-4173 · (909) 533-4139

Phone(909) 533-4139

Sole ProprietorYes

Enumeration DateAugust 30, 2006

Last NPPES UpdateJanuary 20, 2017

✔ NPI 1912017302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 44169

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.

143 N PLYMOUTH WAY, San Bernardino, CA 92408

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Wagner De Luca Faria Dds 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 92408 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 Wagner Faria's NPI number?

The NPI number for Wagner Faria is 1912017302. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Wagner Faria located?

Wagner Faria practices at 143 N Plymouth Way, San Bernardino, CA 92408. The listed phone number is (909) 533-4139.

What is Wagner Faria's specialty?

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

Is Wagner Faria enrolled in Medicare?

Yes. Wagner Faria is registered in the Medicare PECOS enrollment system.

What insurance does Wagner Faria accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Wagner Faria 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 Wagner Faria was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.