DR. SAM Y WONG D.D.S. NPI 1003023268

Dentist in Oakland, CA

NPI 1003023268 Individual Male Dentist PECOS Enrolled

NPI Profile for DR. SAM Y WONG D.D.S.

Sam Wong is a provider established in Oakland, California and his medical specialization is dentist. The NPI number of Sam Wong is 1003023268 and was assigned on May 2007. The practitioner's primary taxonomy code is 122300000X with license number 24696 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

A dentist like Dr. Sam Y Wong D.d.s. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Sam Wong is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)..

Sam Wong is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003023268

Provider NameDR. SAM Y WONG D.D.S.
Provider Location Address1904 FRANKLIN ST SUITE 511 OAKLAND, CA 94612
Provider Mailing Address1904 FRANKLIN ST SUITE 511 OAKLAND, CA 94612
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-17-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License No.24696
License StateCA
Taxonomy DescriptionA 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.

Business Address

DR. SAM Y WONG D.D.S.
1904 FRANKLIN ST
SUITE 511
OAKLAND, CA
ZIP 94612
Phone: (510) 893-8066
Fax: (510) 893-6542

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Mailing Address

DR. SAM Y WONG D.D.S.
1904 FRANKLIN ST
SUITE 511
OAKLAND, CA
ZIP 94612
Phone: (510) 893-8066
Fax: (510) 893-6542



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003023268
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003026212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 6 + 2 + 1 + 2 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003023268 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881744654 CAROLINA IVETTE ROSALES-WYMAN LCSW
Individual
Social Worker (Clinical)1904 FRANKLIN ST SUITE #703
OAKLAND, CA 94612
(510) 832-2574
1447459201DR. ALIYEH KOHBOD PH.D., PSYCHOLOGIST
Individual
Psychologist (Clinical)1904 FRANKLIN ST # 509
OAKLAND, CA 94612
(510) 451-2096
1861644593DR. MANDY SUETLING LEUNG D.D.S.
Individual
Dentist (General Practice)1904 FRANKLIN ST SUITE 511
OAKLAND, CA 94612
(510) 893-8066
1831323682FAMILY CENTER FOR SEXUAL ABUSE PREVENTION AND THERAPY
Organization
Social Worker (Clinical)1904 FRANKLIN ST SUITE 703
OAKLAND, CA 94612
(510) 832-2574
1053639567 CYNTHIA VOLKAMER RINKER MA, MFT
Individual
Marriage & Family Therapist1904 FRANKLIN ST SUITE 703
OAKLAND, CA 94612
(510) 316-8140
1194001065QUALITY OF LIFE: A CHIROPRACTIC WELLNESS CENTER
Organization
Chiropractor1904 FRANKLIN ST #310
OAKLAND, CA 94612
(510) 213-8202
1174878284 MELANIE ANN COOK
Individual
Marriage & Family Therapist1904 FRANKLIN ST
OAKLAND, CA 94612
(510) 428-2028
1548468689THE LINK TO CHILDREN
Organization
Community/Behavioral Health1904 FRANKLIN ST SUITE 400
OAKLAND, CA 94612
(510) 428-2028
1700202843 DERRICK SCOTT C.D.R.S.
Individual
Driver1904 FRANKLIN ST SUITE 330
OAKLAND, CA 94612
(510) 444-8900
1407058803MS. JANNETT MARIE SMITH
Individual
Counselor (Mental Health)1904 FRANKLIN ST
OAKLAND, CA 94612
(510) 529-8383
1174996615 MADY WILLIE
Individual
Counselor1904 FRANKLIN ST
OAKLAND, CA 94612
(510) 435-0213
1699149146 DOLORES LYLES
Individual
Counselor (Professional)1904 FRANKLIN ST
OAKLAND, CA 94612
(510) 423-2318
1194173401 CYNTHIA ZABALA
Individual
Counselor (Addiction (Substance Use Disorder))1904 FRANKLIN ST
OAKLAND, CA 94612
(510) 834-3457

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Sam Y Wong D.d.s. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.