1. Home
  2. Directory
  3. Michigan
  4. Shelby Township
  5. Dentist
  6. NPI Profile

MR. LARRY VAN AMEYDE DDS
NPI 1679592489
Dentist - Oral and Maxillofacial Surgery in Shelby Township, MI

Active since July 19, 2006Opted out of Medicare · through Aug 16, 2026
51745 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316(586) 323-1600(586) 323-1644 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Larry Van Ameyde Dds NPPES

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

MR. LARRY VAN AMEYDE DDS (NPI 1679592489) is an individual oral and maxillofacial surgery provider in Shelby Township, Michigan, licensed in Michigan (10374) and active in the NPI registry since July 2006. He has opted out of Medicare through August 16, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679592489
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMR. LARRY VAN AMEYDECredential: DDS
Location Address51745 VAN DYKE AVEShelby Township, MI 48316-4451
Mailing Address51745 Van Dyke AveShelby Township, MI 48316-4451 · (586) 323-1600 · Fax (586) 323-1644
Phone(586) 323-1600
Fax(586) 323-1644
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 6, 2007
✔ NPI 1679592489 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 MI · 10374
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.
51745 VAN DYKE AVE, Shelby Township, MI 48316
Open in Google Maps ↗

Other Identifiers 2

Other9755011140MI · Blue Cross Blue Shield Id
Medicare ID-Type UnspecifiedOP25120MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Larry Van Ameyde Dds 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 August 16, 2010 through August 16, 2026.

Opt-Out Effective DateAugust 16, 2010
Opt-Out In Effect ThroughAugust 16, 2026Opt-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 48316 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 2

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

ORAL SURGERY P.L.L.C
Dentist (Oral and Maxillofacial Surgery)
51745 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316
Macomb County (586) 323-1600
L VAN AMEYEDE DDS PC
Dentist (Oral and Maxillofacial Surgery)
51745 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48316
Macomb County (586) 323-1600

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 Larry Van Ameyde's NPI number?

The NPI number for Larry Van Ameyde is 1679592489. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Larry Van Ameyde located?

Larry Van Ameyde practices at 51745 Van Dyke Ave, Shelby Township, MI 48316. The listed phone number is (586) 323-1600.

What is Larry Van Ameyde's specialty?

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

Is Larry Van Ameyde enrolled in Medicare?

No. Larry Van Ameyde has opted out of Medicare through August 16, 2026. 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.

When was this NPI record last updated?

The NPPES record for Larry Van Ameyde was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.