DR. TINA PTACEK DMD
NPI 1649403775
Dentist - Pediatric Dentistry in Surprise, AZ

Q: What is Tina Ptacek's NPI number?

The NPI number for Tina Ptacek is 1649403775. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Q: What is Tina Ptacek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Ptacek was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 24, 2009PECOS Enrolled

15180 N COTTON LN STE 104, SURPRISE, AZ 85388(623) 214-6543 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2020, Dec 27, 2016 (2 updates tracked since 2016).

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About Dr. Tina Ptacek Dmd NPPES

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

DR. TINA PTACEK DMD (NPI 1649403775) is an individual pediatric dentistry provider in Surprise, Arizona, licensed in Arizona (D7818) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649403775

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. TINA PTACEKCredential: DMD

Location Address15180 N COTTON LN STE 104Surprise, AZ 85388-7000

Mailing Address23219 N Del Monte DrSun City West, AZ 85375-2372 · (623) 628-6858

Phone(623) 214-6543

Sole ProprietorNo

Enumeration DateAugust 24, 2009

Last NPPES UpdateJune 3, 20202 updates tracked since enumeration

NPPES CertifiedJune 3, 2020

✔ NPI 1649403775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in AZ · D7818✔ Licensed in TX · 32491

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.

15180 N COTTON LN STE 104, Surprise, AZ 85388

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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, BEST Life, Blue Cross and Blue Shield of Alabama 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. Tina Ptacek 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85388 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

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

STEVEN LEE FARNSWORTH DDS, PHD

Dentist (Dentist Anesthesiologist)

15180 N COTTON LN STE 104
SURPRISE, AZ 85388

Maricopa County (623) 214-6543

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 Tina Ptacek's NPI number?

The NPI number for Tina Ptacek is 1649403775. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Where is Tina Ptacek located?

Tina Ptacek practices at 15180 N Cotton Ln Ste 104, Surprise, AZ 85388. The listed phone number is (623) 214-6543.

What is Tina Ptacek's specialty?

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

Is Tina Ptacek enrolled in Medicare?

Yes. Tina Ptacek is registered in the Medicare PECOS enrollment system.

What insurance does Tina Ptacek accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 13 other insurers list Tina Ptacek 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 Tina Ptacek was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.