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LISA HENRIKA VAN EYNDHOVEN DDS
NPI 1982979506
Dentist - Pediatric Dentistry in Elkton, MD

Active since March 15, 2012PECOS Enrolled
103 CHESAPEAKE BLVD STE E, ELKTON, MD 21921(410) 648-2211 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Henrika Van Eyndhoven Dds NPPES

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

LISA HENRIKA VAN EYNDHOVEN DDS (NPI 1982979506) is an individual pediatric dentistry provider in Elkton, Maryland, licensed in New York (8683136) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982979506
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameLISA HENRIKA VAN EYNDHOVENCredential: DDS
Location Address103 CHESAPEAKE BLVD STE EElkton, MD 21921-6391
Mailing Address103 Chesapeake Blvd Ste EElkton, MD 21921-6391 · (410) 648-2211
Phone(410) 648-2211
Sole ProprietorNo
Enumeration DateMarch 15, 2012
Last NPPES UpdateNovember 3, 2016
✔ NPI 1982979506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NY · 8683136✔ Licensed in MD · 15660✔ Licensed in NJ · 22DI02558300
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
103 CHESAPEAKE BLVD STE E, Elkton, MD 21921
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Henrika Van Eyndhoven 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Van Eyndhoven reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Downtown Bronx Medical Associates PC
129 mi
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
NPI 1689618407 (718) 576-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21921 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 Lisa Van Eyndhoven's NPI number?

The NPI number for Lisa Van Eyndhoven is 1982979506. It was assigned to this individual provider in the NPPES registry on March 15, 2012.

Where is Lisa Van Eyndhoven located?

Lisa Van Eyndhoven practices at 103 Chesapeake Blvd Ste E, Elkton, MD 21921. The listed phone number is (410) 648-2211.

What is Lisa Van Eyndhoven's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Lisa Van Eyndhoven enrolled in Medicare?

Yes. Lisa Van Eyndhoven is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Van Eyndhoven's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Van Eyndhoven reassigns Medicare benefits to Downtown Bronx Medical Associates PC (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Van Eyndhoven's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Van Eyndhoven accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Lisa Van Eyndhoven 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 Lisa Van Eyndhoven was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.