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MRS. ALISHA BROOKE PORTER D.D.S.
NPI 1891881884
Dentist - General Practice in Azle, TX

Active since October 05, 2006Opted out of Medicare · through Apr 12, 2027
240 PARK PL, AZLE, TX 76020(817) 444-1763(817) 270-4076 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Alisha Brooke Porter D.d.s. NPPES

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

MRS. ALISHA BROOKE PORTER D.D.S. (NPI 1891881884) is an individual general practice provider in Azle, Texas, licensed in Texas (18701) and active in the NPI registry since October 2006. She has opted out of Medicare through April 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891881884
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMRS. ALISHA BROOKE PORTERCredential: D.D.S.
Location Address240 PARK PLAzle, TX 76020-3230
Mailing Address240 Park PlAzle, TX 76020-3230 · (817) 444-1763 · Fax (817) 270-4076
Phone(817) 444-1763
Fax(817) 270-4076
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891881884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 18701
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.

240 PARK PL, Azle, TX 76020
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Alisha Brooke Porter D.d.s. 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 April 12, 2017 through April 12, 2027.

Opt-Out Effective DateApril 12, 2017
Opt-Out In Effect ThroughApril 12, 2027Opt-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 76020 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 Alisha Porter's NPI number?

The NPI number for Alisha Porter is 1891881884. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Alisha Porter located?

Alisha Porter practices at 240 Park Pl, Azle, TX 76020. The listed phone number is (817) 444-1763.

What is Alisha Porter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Alisha Porter enrolled in Medicare?

No. Alisha Porter has opted out of Medicare through April 12, 2027. 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.

When was this NPI record last updated?

The NPPES record for Alisha Porter was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.