1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Dentist
  6. NPI Profile

DR. LISA R DEKKER-REED DDS
NPI 1730322876
Dentist in South Bend, IN

Active since April 17, 2009PECOS Enrolled
919 E JEFFERSON BLVD STE 100, SOUTH BEND, IN 46617(574) 245-7501(574) 245-7502 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa R Dekker-reed Dds NPPES

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

DR. LISA R DEKKER-REED DDS (NPI 1730322876) is an individual dentist in South Bend, Indiana, licensed in Indiana (12011340) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730322876
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LISA R DEKKER-REEDCredential: DDS
Location Address919 E JEFFERSON BLVD STE 100South Bend, IN 46617-3112
Mailing Address919 E Jefferson Blvd Ste 100South Bend, IN 46617-3112 · (574) 245-7501 · Fax (574) 245-7502
Phone(574) 245-7501
Fax(574) 245-7502
Sole ProprietorNo
Enumeration DateApril 17, 2009
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 4, 2023
✔ NPI 1730322876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12011340
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.
919 E JEFFERSON BLVD STE 100, South Bend, IN 46617
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Lisa R Dekker-reed 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 46617 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

DR. ABISOLA JEGEDE DMD, MPH
Dentist (Orthodontics and Dentofacial Orthopedics)
919 E JEFFERSON BLVD STE 100
SOUTH BEND, IN 46617
St. Joseph County (574) 245-7504

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 Dekker-reed's NPI number?

The NPI number for Lisa Dekker-reed is 1730322876. It was assigned to this individual provider in the NPPES registry on April 17, 2009.

Where is Lisa Dekker-reed located?

Lisa Dekker-reed practices at 919 E Jefferson Blvd Ste 100, South Bend, IN 46617. The listed phone number is (574) 245-7501.

What is Lisa Dekker-reed's specialty?

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

Is Lisa Dekker-reed enrolled in Medicare?

Yes. Lisa Dekker-reed is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Dekker-reed accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 13 other insurers list Lisa Dekker-reed 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 Dekker-reed was last updated on September 20, 2023. 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.