JARED EVAN LICHSTRAHL D.M.D.
NPI 1932219474
Dentist - Endodontics in Sunrise, FL

Active since August 30, 2006Opted out of Medicare · through Apr 4, 2028
2500 N UNIVERSITY DR, STE#12, SUNRISE, FL 33322(954) 741-6400(954) 741-0105 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jared Evan Lichstrahl D.m.d. NPPES

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

JARED EVAN LICHSTRAHL D.M.D. (NPI 1932219474) is an individual endodontics provider in Sunrise, Florida, licensed in Florida (DN14328) and active in the NPI registry since August 2006. He has opted out of Medicare through April 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932219474
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameJARED EVAN LICHSTRAHLCredential: D.M.D.
Location Address2500 N UNIVERSITY DR, STE#12Sunrise, FL 33322-3003
Mailing Address2500 N University Dr, Ste#12Sunrise, FL 33322-3003 · (954) 741-6400 · Fax (954) 741-0105
Fax(954) 741-0105
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1932219474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in FL · DN14328
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2500 N UNIVERSITY DR, Sunrise, FL 33322

Accepted 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

Jared Evan Lichstrahl D.m.d. 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 4, 2016 through April 4, 2028.

Opt-Out Effective DateApril 4, 2016
Opt-Out In Effect ThroughApril 4, 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 33322 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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 4

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

General Practice
2500 N UNIVERSITY DR, SUITE 3
SUNRISE, FL 33322
Dentist
2500 N UNIVERSITY DR, SUITE 9
SUNRISE, FL 33322
Dentist (General Practice)
2500 N UNIVERSITY DR, SUITE 9
SUNRISE, FL 33322
Dentist (Endodontics)
2500 N UNIVERSITY DR, STE 12
SUNRISE, FL 33322

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 Jared Lichstrahl's NPI number?

The NPI number for Jared Lichstrahl is 1932219474. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Jared Lichstrahl located?

Jared Lichstrahl practices at 2500 N University Dr Ste#12, Sunrise, FL 33322. The listed phone number is (954) 741-6400.

What is Jared Lichstrahl's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jared Lichstrahl enrolled in Medicare?

No. Jared Lichstrahl has opted out of Medicare through April 4, 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 Jared Lichstrahl accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Jared Lichstrahl 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 Jared Lichstrahl was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.