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DR. LISA ANDERSON DDS
NPI 1659722940
Dentist in Jackson, WY

Active since June 28, 2016PECOS Enrolled
945 W BROADWAY AVE APT 201, JACKSON, WY 83001(307) 734-5200 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2024, Jun 28, 2016 (2 updates tracked since 2016).

About Dr. Lisa Anderson Dds NPPES

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

DR. LISA ANDERSON DDS (NPI 1659722940) is an individual dentist in Jackson, Wyoming, licensed in Wyoming (1630) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659722940
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LISA ANDERSONCredential: DDS
Location Address945 W BROADWAY AVE APT 201Jackson, WY 83001-8217
Mailing Address945 W Broadway Ave Apt 201Jackson, WY 83001-8217 · (307) 734-5200
Phone(307) 734-5200
Sole ProprietorNo
Enumeration DateJune 28, 2016
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1659722940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WY · 1630✔ Licensed in SD · D1109
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.
945 W BROADWAY AVE APT 201, Jackson, WY 83001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Lisa Anderson 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 83001 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

ALPINE DENITSTRY
Clinic/Center (Dental)
945 W BROADWAY AVE APT 201
JACKSON, WY 83001
Teton County (307) 734-5200

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 Lisa Anderson's NPI number?

The NPI number for Lisa Anderson is 1659722940. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Lisa Anderson located?

Lisa Anderson practices at 945 W Broadway Ave Apt 201, Jackson, WY 83001. The listed phone number is (307) 734-5200.

What is Lisa Anderson's specialty?

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

Is Lisa Anderson enrolled in Medicare?

Yes. Lisa Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Anderson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Lisa Anderson 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 Lisa Anderson was last updated on June 28, 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.