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ANGELA L TENHOLDER D.M.D.
NPI 1487605507
Dentist in Columbia, IL

Active since May 13, 2006Opted out of Medicare · through Apr 16, 2027
1000 ELEVEN S STE 3F, COLUMBIA, IL 62236(618) 281-9729(618) 281-9734 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angela L Tenholder D.m.d. NPPES

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

ANGELA L TENHOLDER D.M.D. (NPI 1487605507) is an individual dentist in Columbia, Illinois, licensed in Illinois (019-023598) and active in the NPI registry since May 2006. She has opted out of Medicare through April 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487605507
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameANGELA L TENHOLDERCredential: D.M.D.
Location Address1000 ELEVEN S STE 3FColumbia, IL 62236-1077
Mailing Address1000 Eleven S Ste 3fColumbia, IL 62236-1077 · (618) 281-9729 · Fax (618) 281-9734
Phone(618) 281-9729
Fax(618) 281-9734
Sole ProprietorYes
Enumeration DateMay 13, 2006
Last NPPES UpdateJanuary 8, 2020
✔ NPI 1487605507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019-023598
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.
1000 ELEVEN S STE 3F, Columbia, IL 62236
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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

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Opted out of Medicare

Angela L Tenholder 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 April 16, 2019 through April 16, 2027.

Opt-Out Effective DateApril 16, 2019
Opt-Out In Effect ThroughApril 16, 2027Opt-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 62236 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 Angela Tenholder's NPI number?

The NPI number for Angela Tenholder is 1487605507. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Angela Tenholder located?

Angela Tenholder practices at 1000 Eleven S Ste 3F, Columbia, IL 62236. The listed phone number is (618) 281-9729.

What is Angela Tenholder's specialty?

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

Is Angela Tenholder enrolled in Medicare?

No. Angela Tenholder has opted out of Medicare through April 16, 2027. 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.

What insurance does Angela Tenholder accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Alabama and Florida Combined Life and 3 other insurers list Angela Tenholder 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 Angela Tenholder was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.