1. Home
  2. Directory
  3. Illinois
  4. Moline
  5. Dentist
  6. NPI Profile

JI MA
NPI 1891117198
Dentist in Moline, IL

Active since January 06, 2014Opted out of Medicare · through Mar 31, 2028
4601 16TH ST UNIT 12, MOLINE, IL 61265(309) 292-0942 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ji Ma NPPES

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

JI MA (NPI 1891117198) is an individual dentist in Moline, Illinois, licensed in Illinois (019029795) and active in the NPI registry since January 2014. She has opted out of Medicare through March 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891117198
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJI MA
Location Address4601 16TH ST UNIT 12Moline, IL 61265-7000
Mailing Address4601 16th St Unit 12Moline, IL 61265-7000 · (309) 292-0942
Phone(309) 292-0942
Sole ProprietorNo
Enumeration DateJanuary 6, 2014
Last NPPES UpdateDecember 15, 2015
✔ NPI 1891117198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019029795
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.
4601 16TH ST UNIT 12, Moline, IL 61265
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ji Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 31, 2016 through March 31, 2028.

Opt-Out Effective DateMarch 31, 2016
Opt-Out In Effect ThroughMarch 31, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61265 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Ji Ma's NPI number?

The NPI number for Ji Ma is 1891117198. It was assigned to this individual provider in the NPPES registry on January 6, 2014.

Where is Ji Ma located?

Ji Ma practices at 4601 16th St Unit 12, Moline, IL 61265. The listed phone number is (309) 292-0942.

What is Ji Ma's specialty?

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

Is Ji Ma enrolled in Medicare?

No. Ji Ma has opted out of Medicare through March 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ji Ma accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 5 other insurers list Ji Ma 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 Ji Ma was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.