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DR. LISA H SIDDALL D.D.S.
NPI 1174725220
Dentist - General Practice in Leland, MI

Active since June 01, 2007PECOS Enrolled
407 SOUTH MAIN, LELAND, MI 49654(231) 256-9142(231) 256-9131 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa H Siddall D.d.s. NPPES

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

DR. LISA H SIDDALL D.D.S. (NPI 1174725220) is an individual general practice provider in Leland, Michigan, licensed in Michigan (2901016320) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174725220
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA H SIDDALLCredential: D.D.S.
Location Address407 SOUTH MAINLeland, MI 49654
Mailing AddressPo Box 1133Leland, MI 49654-1133 · (231) 256-9142 · Fax (231) 256-9131
Phone(231) 256-9142
Fax(231) 256-9131
Sole ProprietorYes
Enumeration DateJune 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174725220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901016320
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.
407 SOUTH MAIN, Leland, MI 49654
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa H Siddall D.d.s. 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 49654 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Lisa Siddall's NPI number?

The NPI number for Lisa Siddall is 1174725220. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Lisa Siddall located?

Lisa Siddall practices at 407 South Main, Leland, MI 49654. The listed phone number is (231) 256-9142.

What is Lisa Siddall's specialty?

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

Is Lisa Siddall enrolled in Medicare?

Yes. Lisa Siddall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Siddall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.