ALYSSA LY DDS
NPI 1811678204
Dentist - General Practice in Saint Louis, MO
About Alyssa Ly Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA LY DDS (NPI 1811678204) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2023025120) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Alyssa Ly Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Alyssa Ly's NPI number?
The NPI number for Alyssa Ly is 1811678204. It was assigned to this individual provider in the NPPES registry on July 27, 2023.
Where is Alyssa Ly located?
Alyssa Ly practices at 4352 Manchester Ave, Saint Louis, MO 63110. The listed phone number is (314) 371-0336.
What is Alyssa Ly's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Alyssa Ly enrolled in Medicare?
Yes. Alyssa Ly is registered in the Medicare PECOS enrollment system.
What insurance does Alyssa Ly accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Alyssa Ly 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 Alyssa Ly was last updated on September 10, 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.
# Alyssa Ly, DDS · NPI 1811678204
General Practice provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 27, 2023.
## Identity
- **NPI:** 1811678204 (Entity type: Individual)
- **Enumerated:** July 27, 2023
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2023025120 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4352 MANCHESTER AVE, Saint Louis, MO 63110-2138
- **Phone:** (314) 371-0336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** September 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1811678204) · Data from the CMS NPPES public registry.