DR. EVAN DAVID TETELMAN DDS
NPI 1922297480
Dentist - General Practice in Lyndhurst, OH

Q: What is Evan Tetelman's NPI number?

The NPI number for Evan Tetelman is 1922297480. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Q: What is Evan Tetelman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evan Tetelman was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 22, 2007PECOS Enrolled

29001 CEDAR RD, SUITE 660, LYNDHURST, OH 44124(440) 461-8200(440) 461-8343 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Evan David Tetelman Dds NPPES

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

DR. EVAN DAVID TETELMAN DDS (NPI 1922297480) is an individual general practice provider in Lyndhurst, Ohio, licensed in Ohio (D16334) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922297480

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. EVAN DAVID TETELMANCredential: DDS

Location Address29001 CEDAR RD, SUITE 660Lyndhurst, OH 44124-4062

Mailing Address29001 Cedar Rd, Suite 660Lyndhurst, OH 44124-4062 · (440) 461-8200 · Fax (440) 461-8343

Phone(440) 461-8200

Fax(440) 461-8343

Sole ProprietorNo

Enumeration DateOctober 22, 2007

✔ NPI 1922297480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · D16334

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.

29001 CEDAR RD, Lyndhurst, OH 44124

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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. Evan David Tetelman 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 44124 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $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 20

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

PREMIER DERMATOLOGY

Dermatology (Dermatopathology)

29001 CEDAR RD, SUITE 203
LYNDHURST, OH 44124

Cuyahoga County (440) 684-9933

DR. KATHARINE S. ROCKMAN D.D.S.

Dentist (General Practice)

29001 CEDAR RD, STE#675
LYNDHURST, OH 44124

Cuyahoga County (440) 995-1961

KATHLEEN T. SPILAR M.A.

Audiologist

29001 CEDAR RD, SUITE 203
LYNDHURST, OH 44124

Cuyahoga County (440) 684-9970

DR. REBECCA BIETTA DAVIS D.D.S., M.S.D.

Dentist (Periodontics)

29001 CEDAR RD, SUITE 450
LYNDHURST, OH 44124

Cuyahoga County (440) 461-3400

DR. RALPH F MONDORA D.D.S.

Dentist (General Practice)

29001 CEDAR RD, SUITE 320
LYNDHURST, OH 44124

Cuyahoga County (440) 461-7115

DR. JAY C RESNICK DDS

Dentist (General Practice)

29001 CEDAR RD, SUITE 660
LYNDHURST, OH 44124

Cuyahoga County (440) 461-8200

MARC A ZECHEL M.D.,D.D.S.

Dentist (Oral and Maxillofacial Surgery)

29001 CEDAR RD, SUITE 680
CLEVELAND, OH 44124

Cuyahoga County (440) 461-1157

DR. JUDITH A EVANS MD

Obstetrics & Gynecology

29001 CEDAR RD, STE 518
LYNDHURST, OH 44124

Cuyahoga County (440) 646-8200

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 Evan Tetelman's NPI number?

The NPI number for Evan Tetelman is 1922297480. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Where is Evan Tetelman located?

Evan Tetelman practices at 29001 Cedar Rd Suite 660, Lyndhurst, OH 44124. The listed phone number is (440) 461-8200.

What is Evan Tetelman's specialty?

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

Is Evan Tetelman enrolled in Medicare?

Yes. Evan Tetelman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Tetelman was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.