LIDYA JIRJIS
NPI 1114417474
Dentist in Detroit, MI

Active since May 12, 2018PECOS Enrolled
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(313) 494-6907 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2021, Aug 4, 2021, May 12, 2018 (3 updates tracked since 2018).

About Lidya Jirjis NPPES

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

LIDYA JIRJIS (NPI 1114417474) is an individual dentist in Detroit, Michigan, licensed in Michigan (2951000446) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114417474
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLIDYA JIRJIS
Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576
Mailing Address6015 Oak TrlWest Bloomfield, MI 48322-2073 · (785) 865-8232
Sole ProprietorYes
Enumeration DateMay 12, 2018
Last NPPES UpdateJune 28, 20223 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
NPI 1114417474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MI · 2951000446 Licensed in MI · 2901022753
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.

2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208

Accepted 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)

Lidya Jirjis 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 48208 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD, DEPT. OF PERIODONTICS
DETROIT, MI 48208
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist (General Practice)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist (Oral and Maxillofacial Surgery)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208

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 Lidya Jirjis's NPI number?

The NPI number for Lidya Jirjis is 1114417474. It was assigned to this individual provider in the NPPES registry on May 12, 2018.

Where is Lidya Jirjis located?

Lidya Jirjis practices at 2700 Martin Luther King Jr Blvd, Detroit, MI 48208. The listed phone number is (313) 494-6907.

What is Lidya Jirjis's specialty?

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

Is Lidya Jirjis enrolled in Medicare?

Yes. Lidya Jirjis is registered in the Medicare PECOS enrollment system.

What insurance does Lidya Jirjis 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 Delta Dental PPO and 11 other insurers list Lidya Jirjis 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 Lidya Jirjis was last updated on June 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.