MICHAEL OPPEDISANO D.M.D.
NPI 1497921209
Dentist - Pediatric Dentistry in Dallas, TX

Active since May 01, 2008Opted out of Medicare · through May 13, 2028
5421 RICHARD AVE, DALLAS, TX 75206(214) 228-1415 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael Oppedisano D.m.d. NPPES

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

MICHAEL OPPEDISANO D.M.D. (NPI 1497921209) is an individual pediatric dentistry provider in Dallas, Texas, licensed in Texas (23102) and active in the NPI registry since May 2008. He has opted out of Medicare through May 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497921209
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameMICHAEL OPPEDISANOCredential: D.M.D.
Location Address5421 RICHARD AVEDallas, TX 75206-6713
Mailing Address5421 Richard AveDallas, TX 75206-6713
Sole ProprietorNo
Enumeration DateMay 1, 2008
Last NPPES UpdateFebruary 17, 2012
NPI 1497921209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 23102
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 23102 (TX)
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 23102 (TX)
5421 RICHARD AVE, Dallas, TX 75206

Accepted 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

Michael Oppedisano 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 May 13, 2016 through May 13, 2028.

Opt-Out Effective DateMay 13, 2016
Opt-Out In Effect ThroughMay 13, 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 75206 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 Michael Oppedisano's NPI number?

The NPI number for Michael Oppedisano is 1497921209. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Michael Oppedisano located?

Michael Oppedisano practices at 5421 Richard Ave, Dallas, TX 75206. The listed phone number is (214) 228-1415.

What is Michael Oppedisano's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Michael Oppedisano enrolled in Medicare?

No. Michael Oppedisano has opted out of Medicare through May 13, 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.

What insurance does Michael Oppedisano accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 12 other insurers list Michael Oppedisano 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 Michael Oppedisano was last updated on February 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.