1. Home
  2. Directory
  3. North Carolina
  4. Denver
  5. Dentist
  6. NPI Profile

DR. LISA RAE OTOUDE DMD
NPI 1124432349
Dentist - General Practice in Denver, NC

Active since June 16, 2014
275 N NC 16 BUSINESS HWY STE 204B, DENVER, NC 28037(704) 275-5556 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2024, Aug 18, 2017 (2 updates tracked since 2017).

About Dr. Lisa Rae Otoude Dmd NPPES

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

DR. LISA RAE OTOUDE DMD (NPI 1124432349) is an individual general practice provider in Denver, North Carolina, licensed in Texas (32631) and active in the NPI registry since June 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124432349
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA RAE OTOUDECredential: DMD
Location Address275 N NC 16 BUSINESS HWY STE 204BDenver, NC 28037-3000
Mailing Address14928 Nichols Hall DrCharlotte, NC 28273-7504 · (919) 360-2353
Phone(704) 275-5556
Sole ProprietorNo
Enumeration DateJune 16, 2014
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1124432349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TX · 32631✔ Licensed in NC · 10960
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.
275 N NC 16 BUSINESS HWY STE 204B, Denver, NC 28037
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15708 N Sharon Amity Rd Ste 5708-ACharlotte, NC 28215-5082 · Phone (704) 350-2153
Location 29055 Cresswind Blvd Ste 104Charlotte, NC 28215-2272 · Phone (704) 350-2152

Other Identifiers 1

MedicaidZX9605SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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.

DAVID E THOME DDS PLLC I
Dentist (Pediatric Dentistry)
275 N NC 16 BUSINESS HWY STE 204B
DENVER, NC 28037
Lincoln County (704) 275-5556
DAVID E THOME DDS PLLC L1
Dentist (Pediatric Dentistry)
275 N NC 16 BUSINESS HWY STE 204B
DENVER, NC 28037
Lincoln County (704) 275-5556

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 Lisa Otoude's NPI number?

The NPI number for Lisa Otoude is 1124432349. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Lisa Otoude located?

Lisa Otoude practices at 275 N Nc 16 Business Hwy Ste 204B, Denver, NC 28037. The listed phone number is (704) 275-5556.

What is Lisa Otoude's specialty?

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

What insurance does Lisa Otoude accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 13 other insurers list Lisa Otoude 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 Lisa Otoude was last updated on June 17, 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.