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DR. ELLEN MARIE TAVARONE DDS
NPI 1558429605
Dentist in Kentwood, MI

Active since December 04, 2006PECOS Enrolled
280 60TH ST SE STE 200, KENTWOOD, MI 49548(616) 483-0750(616) 551-3683 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ellen Marie Tavarone Dds NPPES

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

DR. ELLEN MARIE TAVARONE DDS (NPI 1558429605) is an individual dentist in Kentwood, Michigan, licensed in Michigan (2901017253) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558429605
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ELLEN MARIE TAVARONECredential: DDS
Location Address280 60TH ST SE STE 200Kentwood, MI 49548-9685
Mailing Address280 60th St Se Ste 200Kentwood, MI 49548-9685 · (616) 483-0750 · Fax (269) 649-1473
Phone(616) 483-0750
Fax(616) 551-3683
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
✔ NPI 1558429605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901017253
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.
280 60TH ST SE STE 200, Kentwood, MI 49548
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Ellen Marie Tavarone 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 49548 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 4

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

CATHERINES HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
280 60TH ST SE STE 200
GRAND RAPIDS, MI 49548
Kent County (616) 336-8800
ALIVIA JOY HAY
Counselor (Mental Health)
280 60TH ST SE STE 200
GRAND RAPIDS, MI 49548
Kent County (616) 483-0750
MS. MARGARET MARY CATHERINE CROWLEY RDH
Dental Hygienist
280 60TH ST SE STE 200
KENTWOOD, MI 49548
Kent County (517) 802-0044
DR. SAMUEL A SPRAGGINS III D.D.S.
Dentist (General Practice)
280 60TH ST SE STE 200
GRAND RAPIDS, MI 49548
Kent County (616) 363-5677

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 Ellen Tavarone's NPI number?

The NPI number for Ellen Tavarone is 1558429605. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Ellen Tavarone located?

Ellen Tavarone practices at 280 60th St SE Ste 200, Kentwood, MI 49548. The listed phone number is (616) 483-0750.

What is Ellen Tavarone's specialty?

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

Is Ellen Tavarone enrolled in Medicare?

Yes. Ellen Tavarone is registered in the Medicare PECOS enrollment system.

What insurance does Ellen Tavarone accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Michigan and 7 other insurers list Ellen Tavarone 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 Ellen Tavarone was last updated on November 13, 2023. 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.