DR. LAUREN DANIELLE TABIS D.M.D.
NPI 1417212945
Dentist - General Practice in Lake City, FL

Q: What is Lauren Tabis's NPI number?

The NPI number for Lauren Tabis is 1417212945. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Q: What is Lauren Tabis's specialty?

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

Q: Is Lauren Tabis enrolled in Medicare?

No. Lauren Tabis has opted out of Medicare through March 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lauren Tabis was last updated on July 18, 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.

Active since July 11, 2012Opted out of Medicare · through Mar 8, 2028

619 S MARION AVE, LAKE CITY, FL 32025(386) 755-3016(352) 384-8137 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Lauren Danielle Tabis D.m.d. NPPES

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

DR. LAUREN DANIELLE TABIS D.M.D. (NPI 1417212945) is an individual general practice provider in Lake City, Florida, licensed in Florida (DN19711) and active in the NPI registry since July 2012. She has opted out of Medicare through March 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417212945

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LAUREN DANIELLE TABISCredential: D.M.D.

Location Address619 S MARION AVELake City, FL 32025-5808

Mailing Address619 S Marion AveLake City, FL 32025-5808 · (386) 755-3016 · Fax (352) 384-8137

Phone(386) 755-3016

Fax(352) 384-8137

Sole ProprietorNo

Enumeration DateJuly 11, 2012

Last NPPES UpdateJuly 18, 2022

NPPES CertifiedJuly 18, 2022

✔ NPI 1417212945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN19711

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.

Also ListedDentistTaxonomy 122300000X · License DN19711 (FL)

619 S MARION AVE, Lake City, FL 32025

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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

ⓘ

Opted out of Medicare

Dr. Lauren Danielle Tabis D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 8, 2016 through March 8, 2028.

Opt-Out Effective DateMarch 8, 2016

Opt-Out In Effect ThroughMarch 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32025 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 20

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

MRS. SHARON LYNEAR HAYES RN

Registered Nurse (Continuing Education/Staff Development)