DR. GARY K LINES DMD
NPI 1588771125
Dentist - Oral and Maxillofacial Surgery in Glendale, AZ

Active since August 23, 2006Opted out of Medicare · through Nov 24, 2027
18301 N 79TH AVE, SUITE G-185, GLENDALE, AZ 85308(623) 931-9197(623) 937-4385 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Gary K Lines Dmd NPPES

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

DR. GARY K LINES DMD (NPI 1588771125) is an individual oral and maxillofacial surgery provider in Glendale, Arizona, licensed in Arizona (3675) and active in the NPI registry since August 2006. He has opted out of Medicare through November 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1588771125
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GARY K LINESCredential: DMD
Location Address18301 N 79TH AVE, SUITE G-185Glendale, AZ 85308-8463
Mailing Address18301 N 79th Ave, Suite G-185Glendale, AZ 85308-8463 · (623) 931-9197 · Fax (623) 937-4385
Fax(623) 937-4385
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1588771125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · 3675
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
18301 N 79TH AVE, Glendale, AZ 85308

Other Identifiers 1

Medicare UPINU11679AZ

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

Dr. Gary K Lines Dmd 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 November 24, 2015 through November 24, 2027.

Opt-Out Effective DateNovember 24, 2015
Opt-Out In Effect ThroughNovember 24, 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 85308 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 20

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

Dentist (General Practice)
18301 N 79TH AVE, G-185
GLENDALE, AZ 85308
Physical Therapist
18301 N 79TH AVE, SUITEB122
GLENDALE, AZ 85308
Dentist (General Practice)
18301 N 79TH AVE, F160
GLENDALE, AZ 85308
Dentist (Oral and Maxillofacial Surgery)
18301 N 79TH AVE, SUITE G-185
GLENDALE, AZ 85308
Psychiatry & Neurology (Psychiatry)
18301 N 79TH AVE, STE C126
GLENDALE, AZ 85308
Psychiatry & Neurology (Psychiatry)
18301 N 79TH AVE, STE C126
GLENDALE, AZ 85308
Dentist
18301 N 79TH AVE, F164
GLENDALE, AZ 85308
Specialist
18301 N 79TH AVE, STE F170
GLENDALE, AZ 85308

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 Gary Lines's NPI number?

The NPI number for Gary Lines is 1588771125. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Gary Lines located?

Gary Lines practices at 18301 N 79th Ave Suite G-185, Glendale, AZ 85308. The listed phone number is (623) 931-9197.

What is Gary Lines's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Gary Lines enrolled in Medicare?

No. Gary Lines has opted out of Medicare through November 24, 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 Gary Lines accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Gary Lines 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 Gary Lines was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.