LISA Y ANDERSON DMD
NPI 1801349980
Dentist in Portland, OR

Q: What is Lisa Anderson's NPI number?

The NPI number for Lisa Anderson is 1801349980. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Q: What is Lisa Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Anderson was last updated on September 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 26, 2016PECOS Enrolled

12750 SE STARK ST BLDG E, PORTLAND, OR 97233(971) 347-3009(971) 256-3277 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2024, Aug 10, 2022, Jul 24, 2020 (3 updates tracked since 2020).

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About Lisa Y Anderson Dmd NPPES

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

LISA Y ANDERSON DMD (NPI 1801349980) is an individual dentist in Portland, Oregon, licensed in Oregon (D10511) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801349980

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameLISA Y ANDERSONCredential: DMD

Location Address12750 SE STARK ST BLDG EPortland, OR 97233-1539

Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235

Phone(971) 347-3009

Fax(971) 256-3277

Sole ProprietorNo

Enumeration DateJuly 26, 2016

Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1801349980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D10511

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D10511 (OR)

12750 SE STARK ST BLDG E, Portland, OR 97233

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Other Identifiers 2

Medicaid500718237OR

Medicaid2162830WA

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 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)

Lisa Y Anderson Dmd 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 97233 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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.

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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.

SHAWNA LEBECHUCK-FISK DENTAL ASSISTANT

Dental Assistant