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DR. LYNN MICHELLE EICKHOLT D.D.S.
NPI 1669636072
Dentist - General Practice in Detroit, MI

Active since July 15, 2008PECOS Enrolled
5716 MICHIGAN AVE, DETROIT, MI 48210(313) 554-3880(313) 899-3550 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2022, Aug 29, 2019 (2 updates tracked since 2019).

About Dr. Lynn Michelle Eickholt D.d.s. NPPES

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

DR. LYNN MICHELLE EICKHOLT D.D.S. (NPI 1669636072) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (2901019857) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669636072
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LYNN MICHELLE EICKHOLTCredential: D.D.S.
Location Address5716 MICHIGAN AVEDetroit, MI 48210-3039
Mailing Address559 W Grand BlvdDetroit, MI 48216-2200 · (313) 554-0485 · Fax (313) 228-0283
Phone(313) 554-3880
Fax(313) 899-3550
Sole ProprietorNo
Enumeration DateJuly 15, 2008
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1669636072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901019857
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.
5716 MICHIGAN AVE, Detroit, MI 48210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11700 Waterman StDetroit, MI 48209-2022 · Phone (313) 355-4301 · Fax (313) 554-1918
Location 220901 Moross RdDetroit, MI 48236-2058 · Phone (313) 626-2620 · Fax (313) 649-2195

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lynn Michelle Eickholt D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Lynn Eickholt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Community Care, Inc.
Same address
Federally Qualified Health Center (FQHC)
5716 MICHIGAN AVE
Detroit, MI 48210
  • Reassigned Medicare billing, Michigan enrollment
  • 23 clinicians in this Medicare group
NPI 1720134943 (313) 554-1095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48210 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

MS. REBECCA LOUISE DEAN LLMSW
Social Worker
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 963-2266
MARIA GUZMAN
Dental Hygienist
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 554-3880
MISS STEPHANY LUNA
Student in an Organized Health Care Education/Training Program
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 963-2266
ALEXANDER SCOTT TODD
Dentist
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 554-3880
DR. ELIJAH NORONHA DDS
Dentist (General Practice)
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 554-3880
KATHERINE LIN LMSW
Social Worker (Clinical)
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 963-2266
RONALD F. KONOPKA D.D.S.
Dentist (General Practice)
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 554-3880
JULENE SIMS
Community Health Worker
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 771-0737

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 Lynn Eickholt's NPI number?

The NPI number for Lynn Eickholt is 1669636072. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Lynn Eickholt located?

Lynn Eickholt practices at 5716 Michigan Ave, Detroit, MI 48210. The listed phone number is (313) 554-3880.

What is Lynn Eickholt's specialty?

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

Is Lynn Eickholt enrolled in Medicare?

Yes. Lynn Eickholt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lynn Eickholt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Eickholt reassigns Medicare benefits to Covenant Community Care, Inc. (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lynn Eickholt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynn Eickholt accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Lynn Eickholt 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 Lynn Eickholt was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.