DR. LISA M. TARTAGLIONE DDS
NPI 1821146903
Dentist - General Practice in Grand Rapids, MI

Active since January 08, 2007PECOS Enrolled
2060 E PARIS AVE SE STE 210, GRAND RAPIDS, MI 49546(616) 949-7290(616) 949-6108 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lisa M. Tartaglione Dds NPPES

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

DR. LISA M. TARTAGLIONE DDS (NPI 1821146903) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (015362) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821146903
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA M. TARTAGLIONECredential: DDS
Location Address2060 E PARIS AVE SE STE 210Grand Rapids, MI 49546-6113
Mailing Address2060 E Paris Ave Se Ste 210Grand Rapids, MI 49546-6113 · (616) 949-7290 · Fax (616) 949-6108
Fax(616) 949-6108
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
NPI 1821146903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 015362
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2060 E PARIS AVE SE STE 210, Grand Rapids, MI 49546

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 M. Tartaglione 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 49546 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 3

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

Clinic/Center (Dental)
2060 E PARIS AVE SE STE 210
GRAND RAPIDS, MI 49546
Dentist
2060 E PARIS AVE SE STE 210
GRAND RAPIDS, MI 49546
Dentist (General Practice)
2060 E PARIS AVE SE STE 210
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821146903, enumerated as an "individual" on January 08, 2007.

The provider is located at 2060 E PARIS AVE SE STE 210 GRAND RAPIDS, MI 49546 and the phone number is (616) 949-7290.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.