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DR. MIRA ANDRE DDS
NPI 1215173471
Dentist in Lyons, IL

Active since December 18, 2008PECOS Enrolled
7851 W ODGEN AVE, LYONS, IL 60534(708) 442-1700(708) 442-2222 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mira Andre Dds NPPES

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

DR. MIRA ANDRE DDS (NPI 1215173471) is an individual dentist in Lyons, Illinois, licensed in Illinois (019020207) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215173471
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MIRA ANDRECredential: DDS
Location Address7851 W ODGEN AVELyons, IL 60534-1320
Mailing Address7851 W. Ogden Ave.Lyons, IL 60534 · (708) 442-1700 · Fax (708) 442-2222
Phone(708) 442-1700
Fax(708) 442-2222
Sole ProprietorYes
Enumeration DateDecember 18, 2008
✔ NPI 1215173471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019020207
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.
7851 W ODGEN AVE, Lyons, IL 60534
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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. Mira Andre 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 60534 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 Mira Andre's NPI number?

The NPI number for Mira Andre is 1215173471. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Where is Mira Andre located?

Mira Andre practices at 7851 W Odgen Ave, Lyons, IL 60534. The listed phone number is (708) 442-1700.

What is Mira Andre's specialty?

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

Is Mira Andre enrolled in Medicare?

Yes. Mira Andre is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mira Andre was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.