DR. SAM Y WONG D.D.S.
NPI 1003023268
Dentist in Oakland, CA

Active since May 17, 2007PECOS Enrolled
1904 FRANKLIN ST, SUITE 511, OAKLAND, CA 94612(510) 893-8066(510) 893-6542 Get Directions Write a Review

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

About Dr. Sam Y Wong D.d.s. NPPES

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

DR. SAM Y WONG D.D.S. (NPI 1003023268) is an individual dentist in Oakland, California, licensed in California (24696) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003023268
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAM Y WONGCredential: D.D.S.
Location Address1904 FRANKLIN ST, SUITE 511Oakland, CA 94612-2912
Mailing Address1904 Franklin St, Suite 511Oakland, CA 94612-2912 · (510) 893-8066 · Fax (510) 893-6542
Fax(510) 893-6542
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1003023268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 24696
Definition
A 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.
1904 FRANKLIN ST, Oakland, CA 94612

Accepted Insurance

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. Sam Y Wong D.d.s. 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 94612 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 12

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

Marriage & Family Therapist
1904 FRANKLIN ST, SUITE 703
OAKLAND, CA 94612
Marriage & Family Therapist
1904 FRANKLIN ST
OAKLAND, CA 94612
Counselor
1904 FRANKLIN ST
OAKLAND, CA 94612
Chiropractor
1904 FRANKLIN ST, #310
OAKLAND, CA 94612
Counselor (Addiction (Substance Use Disorder))
1904 FRANKLIN ST
OAKLAND, CA 94612
Student in an Organized Health Care Education/Training Program
1904 FRANKLIN ST
OAKLAND, CA 94612
Community/Behavioral Health
1904 FRANKLIN ST, SUITE 400
OAKLAND, CA 94612
Counselor (Professional)
1904 FRANKLIN ST
OAKLAND, CA 94612

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 Sam Wong's NPI number?

The NPI number for Sam Wong is 1003023268. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Sam Wong located?

Sam Wong practices at 1904 Franklin St Suite 511, Oakland, CA 94612. The listed phone number is (510) 893-8066.

What is Sam Wong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sam Wong enrolled in Medicare?

Yes. Sam Wong is registered in the Medicare PECOS enrollment system.

What insurance does Sam Wong accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Sam Wong 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 Sam Wong was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.