DR. TARA RENE DOHM DMD - NPI 1184356032 - Dentist in Traverse City, MI

Q: What is Tara Dohm's NPI number?

The NPI number for Tara Dohm is 1184356032. It was assigned to this individual provider in the NPPES registry on June 29, 2022. The provider is also known as Ms. Tara Rene Wisniewski.

Q: What is Tara Dohm's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Dohm was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Dr. Tara Rene Dohm Dmd NPPES

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

DR. TARA RENE DOHM DMD (NPI 1184356032) is an individual dentist in Traverse City, Michigan, licensed in Michigan (2901601288) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184356032

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. TARA RENE DOHMCredential: DMD

Location Address2600 LAFRANIER RDTraverse City, MI 49686-4765

Mailing Address3488 Mahoney DrTraverse City, MI 49696-9001

Phone(866) 878-6557

Sole ProprietorYes

Enumeration DateJune 29, 2022

NPPES CertifiedJune 29, 2022

✔ NPI 1184356032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901601288

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.

2600 LAFRANIER RD, Traverse City, MI 49686

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Other Names 1

Former Name (1)Ms. Tara Rene Wisniewski

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Dr. Tara Rene Dohm Dmd 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 49686 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS JOSEPH SHONIKER DMD

Dentist (General Practice)