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DR. GREGG A LIEDTKA D.M.D.
NPI 1619044286
Dentist - General Practice in Moses Lake, WA

Active since November 29, 2006PECOS Enrolled
605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 765-0674(506) 765-6591 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregg A Liedtka D.m.d. NPPES

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

DR. GREGG A LIEDTKA D.M.D. (NPI 1619044286) is an individual general practice provider in Moses Lake, Washington, licensed in Washington (DE00010090) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619044286
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GREGG A LIEDTKACredential: D.M.D.
Location Address605 S COOLIDGE STMoses Lake, WA 98837
Mailing Address2034 E 63rd AveSpokane, WA 99223-8436 · (509) 855-3946
Phone(509) 765-0674
Fax(506) 765-6591
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1619044286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00010090
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.
605 S COOLIDGE ST, Moses Lake, WA 98837
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Other Identifiers 1

Medicaid5048210WA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregg A Liedtka D.m.d. 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 98837 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

MOSES LAKE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 764-0674
FRANCIE TROWBRIDGE ARNP
Nurse Practitioner
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. SEAN BARRY COLLETTE D.D.S.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MANUEL FELIPE PRIETO DDS
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
CHLOE NOEL KESTERSON PA-C
Physician Assistant
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
ANDREW PAULLIN JOHNSON D.M.D.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MATTHEW HARDY M.S., D.O.
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. MICHEAL RYAN TOLLEY DO
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674

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 Gregg Liedtka's NPI number?

The NPI number for Gregg Liedtka is 1619044286. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Gregg Liedtka located?

Gregg Liedtka practices at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 765-0674.

What is Gregg Liedtka's specialty?

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

Is Gregg Liedtka enrolled in Medicare?

Yes. Gregg Liedtka is registered in the Medicare PECOS enrollment system.

What insurance does Gregg Liedtka 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 Florida Combined Life and 5 other insurers list Gregg Liedtka 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 Gregg Liedtka was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.