DR. TANYA KILEY SACKRIDER DDS
NPI 1255546503
Dentist - General Practice in Cincinnati, OH

Q: What is Tanya Sackrider's NPI number?

The NPI number for Tanya Sackrider is 1255546503. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Tanya Sackrider's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tanya Sackrider was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 May 11, 2007PECOS Enrolled

4627 AICHOLTZ RD, CINCINNATI, OH 45244(513) 753-2821(513) 528-0593 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2026, Sep 10, 2020, Jul 1, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Tanya Kiley Sackrider Dds NPPES

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

DR. TANYA KILEY SACKRIDER DDS (NPI 1255546503) is an individual general practice provider in Cincinnati, Ohio, licensed in Ohio (30.025253) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255546503

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TANYA KILEY SACKRIDERCredential: DDS

Location Address4627 AICHOLTZ RDCincinnati, OH 45244-1447

Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 707-4041

Phone(513) 753-2821

Fax(513) 528-0593

Sole ProprietorYes

Enumeration DateMay 11, 2007

Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1255546503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in OH · 30.025253✔ Licensed in AZ · 7034

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.

4627 AICHOLTZ RD, Cincinnati, OH 45244

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Other Identifiers 1

Medicaid0334460OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Tanya Kiley Sackrider 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 45244 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $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 17

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

JILLIAN SCHAFFELD D.O.

Pediatrics