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DR. MARY ELIZABETH HYDES DDS
NPI 1386203164
Dentist in Chicago, IL

Active since June 06, 2019PECOS Enrolled
8410 S HOLLAND RD, CHICAGO, IL 60620(773) 420-1267 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 6, 2019 (2 updates tracked since 2019).

About Dr. Mary Elizabeth Hydes Dds NPPES

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

DR. MARY ELIZABETH HYDES DDS (NPI 1386203164) is an individual dentist in Chicago, Illinois, licensed in Illinois (019032192) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1386203164
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARY ELIZABETH HYDESCredential: DDS
Location Address8410 S HOLLAND RDChicago, IL 60620-6062
Mailing Address2801 N Wolcott Ave Unit OChicago, IL 60657-4159 · (954) 296-8565
Phone(773) 420-1267
Sole ProprietorNo
Enumeration DateJune 6, 2019
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1386203164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019032192
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8410 S HOLLAND RD, Chicago, IL 60620
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Secondary Practice Location 1

Location 1500 Davis St Ste 601Evanston, IL 60201-4622 · Phone (847) 492-3492

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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. Mary Elizabeth Hydes 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 60620 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 Mary Elizabeth Hydes's NPI number?

The NPI number for Mary Elizabeth Hydes is 1386203164. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Mary Elizabeth Hydes located?

Mary Elizabeth Hydes practices at 8410 S Holland Rd, Chicago, IL 60620. The listed phone number is (773) 420-1267.

What is Mary Elizabeth Hydes's specialty?

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

Is Mary Elizabeth Hydes enrolled in Medicare?

Yes. Mary Elizabeth Hydes is registered in the Medicare PECOS enrollment system.

What insurance does Mary Elizabeth Hydes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, BEST Life and Blue Cross and Blue Shield of Montana and 8 other insurers list Mary Elizabeth Hydes 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 Mary Elizabeth Hydes was last updated on July 21, 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.