AMANDA MARIE DESJARDINS DDS
NPI 1336309889
Dentist - General Practice in Mancelona, MI

Q: What is Amanda Desjardins's NPI number?

The NPI number for Amanda Desjardins is 1336309889. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Q: What is Amanda Desjardins'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 Amanda Desjardins was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 09, 2008PECOS Enrolled

205 GROVE ST, MANCELONA, MI 49659(231) 587-5068 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amanda Marie Desjardins Dds NPPES

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

AMANDA MARIE DESJARDINS DDS (NPI 1336309889) is an individual general practice provider in Mancelona, Michigan, licensed in Michigan (2901019777) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336309889

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameAMANDA MARIE DESJARDINSCredential: DDS

Location Address205 GROVE STMancelona, MI 49659

Mailing Address989 W Washington St, Suite 104Marquette, MI 49855-4064 · (906) 226-9992

Phone(231) 587-5068

Sole ProprietorNo

Enumeration DateJune 9, 2008

Last NPPES UpdateJune 27, 2018

✔ NPI 1336309889 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 · 2901019777

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.

205 GROVE ST, Mancelona, MI 49659

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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)

Amanda Marie Desjardins 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 49659 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 3

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

MS. KIMBERLY M LAFOREST RDH

Dental Hygienist

205 GROVE ST
MANCELONA, MI 49659

Antrim County (231) 587-5068

KENEDY FOMENKO D.M.D

Dentist (General Practice)

205 GROVE ST
MANCELONA, MI 49659

Antrim County (866) 878-6553

CORTNEY CROCKER CPNP-PC

Nurse Practitioner (Pediatrics)

205 GROVE ST
MANCELONA, MI 49659

Antrim County (231) 587-9840

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 Amanda Desjardins's NPI number?

The NPI number for Amanda Desjardins is 1336309889. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Amanda Desjardins located?

Amanda Desjardins practices at 205 Grove St, Mancelona, MI 49659. The listed phone number is (231) 587-5068.

What is Amanda Desjardins's specialty?

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

Is Amanda Desjardins enrolled in Medicare?

Yes. Amanda Desjardins is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Desjardins accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Michigan and 6 other insurers list Amanda Desjardins 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 Amanda Desjardins was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.