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LARAMIE JO EDENS DMD
NPI 1538901152
Dentist - General Practice in Sierra Vista, AZ

Active since June 12, 2024PECOS Enrolled
115 CALLE PORTAL, SIERRA VISTA, AZ 85635(520) 459-3011(520) 417-4481 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Laramie Jo Edens Dmd NPPES

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

LARAMIE JO EDENS DMD (NPI 1538901152) is an individual general practice provider in Sierra Vista, Arizona, licensed in Arizona (D012166) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538901152
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLARAMIE JO EDENSCredential: DMD
Location Address115 CALLE PORTALSierra Vista, AZ 85635-2950
Mailing Address1205 N F AveDouglas, AZ 85607-1920 · (520) 364-1429 · Fax (520) 515-8690
Phone(520) 459-3011
Fax(520) 417-4481
Sole ProprietorNo
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1538901152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D012166
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.
115 CALLE PORTAL, Sierra Vista, AZ 85635
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laramie Jo Edens Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Laramie Edens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gila River Health Care Corporation
136 mi
Critical Access
483 W. SEED FARM RD.
Sacaton, AZ 85147
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1225023179 (602) 528-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 5

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

BRISTIN NAN SCHARF DMD
Dentist (General Practice)
115 CALLE PORTAL
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
115 CALLE PORTAL
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
DR. JORGE LUIS SOTO DDS
Dentist (General Practice)
115 CALLE PORTAL
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
SEOYOON HAN DDS
Dentist (General Practice)
115 CALLE PORTAL
SIERRA VISTA, AZ 85635
Cochise County (540) 459-3011
DR. ALEXANDRA WYLUDA DMD
Dentist
115 CALLE PORTAL
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011

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 Laramie Edens's NPI number?

The NPI number for Laramie Edens is 1538901152. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Laramie Edens located?

Laramie Edens practices at 115 Calle Portal, Sierra Vista, AZ 85635. The listed phone number is (520) 459-3011.

What is Laramie Edens's specialty?

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

Is Laramie Edens enrolled in Medicare?

Yes. Laramie Edens is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laramie Edens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laramie Edens reassigns Medicare benefits to Gila River Health Care Corporation (Sacaton, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laramie Edens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laramie Edens accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Cigna Healthcare and 6 other insurers list Laramie Edens 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 Laramie Edens was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.