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WADE M BANNER D.M.D.
NPI 1952718702
Dentist - General Practice in Glendora, CA

Active since July 14, 2014PECOS Enrolled
2060 E ROUTE 66 STE 105, GLENDORA, CA 91740(626) 594-0374(626) 594-0813 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wade M Banner D.m.d. NPPES

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

WADE M BANNER D.M.D. (NPI 1952718702) is an individual general practice provider in Glendora, California, licensed in California (63601) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952718702
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameWADE M BANNERCredential: D.M.D.
Location Address2060 E ROUTE 66 STE 105Glendora, CA 91740-4691
Mailing Address929 W. Foothill Blvd., Suite ALa Verne, CA 91750-3223 · (626) 594-0374 · Fax (626) 594-0813
Phone(626) 594-0374
Fax(626) 594-0813
Sole ProprietorYes
Enumeration DateJuly 14, 2014
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1952718702 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 · 63601
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.
2060 E ROUTE 66 STE 105, Glendora, CA 91740
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Wade M Banner D.m.d. 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 91740 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 3

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

CELESTE VILLALOBOS RDH
Dental Hygienist
2060 E ROUTE 66 STE 105
GLENDORA, CA 91740
Los Angeles County (626) 594-0374
WADE MELVIN BANNER D.M.D., INC
Dentist
2060 E ROUTE 66 STE 105
GLENDORA, CA 91740
Los Angeles County (626) 594-0374
JAMES J. BELL, D.M.D., INC.
Clinic/Center (Dental)
2060 E ROUTE 66 STE 105
GLENDORA, CA 91740
Los Angeles County (626) 691-5035

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 Wade Banner's NPI number?

The NPI number for Wade Banner is 1952718702. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Wade Banner located?

Wade Banner practices at 2060 E Route 66 Ste 105, Glendora, CA 91740. The listed phone number is (626) 594-0374.

What is Wade Banner's specialty?

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

Is Wade Banner enrolled in Medicare?

Yes. Wade Banner is registered in the Medicare PECOS enrollment system.

What insurance does Wade Banner accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Wade Banner 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 Wade Banner was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.