LYDIA JAEL DEJONGE DDS
NPI 1164042198
Dentist - Pediatric Dentistry in Oak Lawn, IL

Q: What is Lydia Dejonge's NPI number?

The NPI number for Lydia Dejonge is 1164042198. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Q: What is Lydia Dejonge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Dejonge was last updated on October 20, 2023. 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.

Active since April 20, 2020PECOS Enrolled

6305 W 95TH ST STE 200, OAK LAWN, IL 60453(708) 424-1300 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2023, Oct 20, 2023, Apr 20, 2020 (3 updates tracked since 2020).

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About Lydia Jael Dejonge Dds NPPES

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

LYDIA JAEL DEJONGE DDS (NPI 1164042198) is an individual pediatric dentistry provider in Oak Lawn, Illinois, licensed in Illinois (019.032838) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164042198

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameLYDIA JAEL DEJONGECredential: DDS

Location Address6305 W 95TH ST STE 200Oak Lawn, IL 60453-2795

Mailing Address6305 W 95th St Ste 200Oak Lawn, IL 60453-2795 · (708) 424-1300

Phone(708) 424-1300

Sole ProprietorYes

Enumeration DateApril 20, 2020

Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration

NPPES CertifiedOctober 20, 2023

✔ NPI 1164042198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IL · 019.032838

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6305 W 95TH ST STE 200, Oak Lawn, IL 60453

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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)

Lydia Jael Dejonge Dds 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 60453 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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 Lydia Dejonge's NPI number?

The NPI number for Lydia Dejonge is 1164042198. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Lydia Dejonge located?

Lydia Dejonge practices at 6305 W 95th St Ste 200, Oak Lawn, IL 60453. The listed phone number is (708) 424-1300.

What is Lydia Dejonge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Lydia Dejonge enrolled in Medicare?

Yes. Lydia Dejonge is registered in the Medicare PECOS enrollment system.

What insurance does Lydia Dejonge accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Lydia Dejonge 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 Lydia Dejonge was last updated on October 20, 2023. 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.