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VIPUL SAINI DDS
NPI 1972664381
Dentist in Schwenksville, PA

Active since December 12, 2006Opted out of Medicare · through Oct 5, 2026
105 MEMORIAL DR, SCHWENKSVILLE, PA 19473(610) 287-7210(610) 287-8340 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vipul Saini Dds NPPES

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

VIPUL SAINI DDS (NPI 1972664381) is an individual dentist in Schwenksville, Pennsylvania, licensed in Pennsylvania (DS036474) and active in the NPI registry since December 2006. He has opted out of Medicare through October 5, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972664381
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameVIPUL SAINICredential: DDS
Location Address105 MEMORIAL DRSchwenksville, PA 19473-1704
Mailing Address105 Memorial DrSchwenksville, PA 19473-1704 · (610) 287-7210 · Fax (610) 287-8340
Phone(610) 287-7210
Fax(610) 287-8340
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1972664381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS036474
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.
105 MEMORIAL DR, Schwenksville, PA 19473
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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

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Opted out of Medicare

Vipul Saini Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 5, 2018 through October 5, 2026.

Opt-Out Effective DateOctober 5, 2018
Opt-Out In Effect ThroughOctober 5, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19473 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 2

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

SCHWENKSVILLE DENTAL CARE LLC
Dentist (General Practice)
105 MEMORIAL DR
SCHWENKSVILLE, PA 19473
Montgomery County (610) 287-7210
DR. PATRICK J. WALSH D.D.S.
Dentist (General Practice)
105 MEMORIAL DR
SCHWENKSVILLE, PA 19473
Montgomery County (610) 287-7210

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 Vipul Saini's NPI number?

The NPI number for Vipul Saini is 1972664381. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Vipul Saini located?

Vipul Saini practices at 105 Memorial Dr, Schwenksville, PA 19473. The listed phone number is (610) 287-7210.

What is Vipul Saini's specialty?

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

Is Vipul Saini enrolled in Medicare?

No. Vipul Saini has opted out of Medicare through October 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Vipul Saini 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 2 other insurers list Vipul Saini 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 Vipul Saini was last updated on May 31, 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.