AOUA COULIBALY DDS
NPI 1700042165
Dentist in Portage, MI

Active since August 05, 2008PECOS Enrolled
5200 S WESTNEDGE AVE, PORTAGE, MI 49002(269) 382-6656 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 25, 2017 (2 updates tracked since 2017).

About Aoua Coulibaly Dds NPPES

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

AOUA COULIBALY DDS (NPI 1700042165) is an individual dentist in Portage, Michigan, licensed in Michigan (2901021822) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700042165
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameAOUA COULIBALYCredential: DDS
Location Address5200 S WESTNEDGE AVEPortage, MI 49002-0405
Mailing Address5200 S Westnedge AvePortage, MI 49002-0405 · (269) 382-6656
Sole ProprietorNo
Enumeration DateAugust 5, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1700042165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MI · 2901021822 Licensed in MA · 10184
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.

5200 S WESTNEDGE AVE, Portage, MI 49002

Accepted 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)

Aoua Coulibaly 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 49002 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 5

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

Dentist (General Practice)
5200 S WESTNEDGE AVE
PORTAGE, MI 49002
Dentist (General Practice)
5200 S WESTNEDGE AVE
PORTAGE, MI 49002
Dentist
5200 S WESTNEDGE AVE
PORTAGE, MI 49002
Dentist
5200 S WESTNEDGE AVE
PORTAGE, MI 49002
Dentist
5200 S WESTNEDGE AVE
PORTAGE, MI 49002

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 Aoua Coulibaly's NPI number?

The NPI number for Aoua Coulibaly is 1700042165. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Aoua Coulibaly located?

Aoua Coulibaly practices at 5200 S Westnedge Ave, Portage, MI 49002. The listed phone number is (269) 382-6656.

What is Aoua Coulibaly's specialty?

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

Is Aoua Coulibaly enrolled in Medicare?

Yes. Aoua Coulibaly is registered in the Medicare PECOS enrollment system.

What insurance does Aoua Coulibaly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Aoua Coulibaly 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 Aoua Coulibaly was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.