DYANI KALEA GAUDILLIERE D.M.D
NPI 1992066104
Dentist in Stanford, CA

Active since June 04, 2012PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: April 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2024, Sep 13, 2016 (2 updates tracked since 2016).

About Dyani Kalea Gaudilliere D.m.d NPPES

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

DYANI KALEA GAUDILLIERE D.M.D (NPI 1992066104) is an individual dentist in Stanford, California, licensed in California (60103) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Harvard School Of Dental Medicine (2009).

NPPES Registry Identity

NPI1992066104
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDYANI KALEA GAUDILLIERECredential: D.M.D
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Medical School CMSHarvard School Of Dental MedicineGraduated 2009
Enumeration DateJune 4, 2012
Last NPPES UpdateApril 27, 20242 updates tracked since enumeration
NPPES CertifiedApril 27, 2024
NPI 1992066104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 60103
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 60103 (CA)
300 PASTEUR DR, Stanford, CA 94305

Other Names 1

Former Name (1)Dyani Kalea Jones D.m.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dyani Kalea Gaudilliere D.m.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234380817
PECOS Enrollment IDI20121107000372
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
78 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94305 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

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.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

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 Dyani Gaudilliere's NPI number?

The NPI number for Dyani Gaudilliere is 1992066104. It was assigned to this individual provider in the NPPES registry on June 4, 2012. The provider is also known as Dyani Kalea Jones D.M.D..

Where is Dyani Gaudilliere located?

Dyani Gaudilliere practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Dyani Gaudilliere's specialty?

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

Is Dyani Gaudilliere enrolled in Medicare?

Yes. Dyani Gaudilliere is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dyani Gaudilliere was last updated on April 27, 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.