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LAJUAN M MOUNTAIN DMD
NPI 1235177247
Dentist - General Practice in York, PA

Active since June 02, 2006PECOS Enrolled
415 E BOUNDARY AVE, SUITE 101, YORK, PA 17403(717) 846-5174(717) 845-4884 Get Directions Write a Review

NPPES record last updated: August 31, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lajuan M Mountain Dmd NPPES

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

LAJUAN M MOUNTAIN DMD (NPI 1235177247) is an individual general practice provider in York, Pennsylvania, licensed in Pennsylvania (DS036195) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235177247
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLAJUAN M MOUNTAINCredential: DMD
Location Address415 E BOUNDARY AVE, SUITE 101York, PA 17403-2811
Mailing Address116 S George St, Suite 301York, PA 17401-1408 · (717) 846-8546 · Fax (717) 854-0377
Phone(717) 846-5174
Fax(717) 845-4884
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 31, 2011
✔ NPI 1235177247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS036195
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.
415 E BOUNDARY AVE, York, PA 17403
Open in Google Maps ↗

Other Identifiers 6

Other169245PA · Unison
Other9179591PA · Doral Dental
Other248134PA · Dental Benefit Providers
Medicaid101296402PA
Other1734162PA · United Concordia
OtherDS036195PA · Delta Dental

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 Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lajuan M Mountain 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.

Medicare Billing Reassignment

Medicare enrollment records show Lajuan Mountain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family First Health Corporation
Same address
Federally Qualified Health Center (FQHC)
415 E BOUNDARY AVE
York, PA 17403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 55 clinicians in this Medicare group
NPI 1720142490 (717) 843-5174

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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

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

FAMILY FIRST HEALTH CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
415 E BOUNDARY AVE
YORK, PA 17403
York County (717) 843-5174

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 Lajuan Mountain's NPI number?

The NPI number for Lajuan Mountain is 1235177247. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Lajuan Mountain located?

Lajuan Mountain practices at 415 E Boundary Ave Suite 101, York, PA 17403. The listed phone number is (717) 846-5174.

What is Lajuan Mountain's specialty?

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

Is Lajuan Mountain enrolled in Medicare?

Yes. Lajuan Mountain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lajuan Mountain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lajuan Mountain reassigns Medicare benefits to Family First Health Corporation (York, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lajuan Mountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lajuan Mountain accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, 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 Lajuan Mountain 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 Lajuan Mountain was last updated on August 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.