SHARON THAO VI TU DMD
NPI 1013806900
Dentist - General Practice in Jackson, CA

Q: What is Sharon Tu's NPI number?

The NPI number for Sharon Tu is 1013806900. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Q: What is Sharon Tu'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 Sharon Tu was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 02, 2025PECOS Enrolled

12150 NEW YORK RANCH RD, JACKSON, CA 95642(209) 257-2460 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sharon Thao Vi Tu Dmd NPPES

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

SHARON THAO VI TU DMD (NPI 1013806900) is an individual general practice provider in Jackson, California, licensed in California (111736) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Midwestern University College Of Dental Medicine, Glendale (2025).

NPPES Registry Identity

NPI1013806900

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSHARON THAO VI TUCredential: DMD

Location Address12150 NEW YORK RANCH RDJackson, CA 95642-9407

Mailing Address12150 New York Ranch RdJackson, CA 95642-9407

Phone(209) 257-2460

Sole ProprietorNo

Medical School CMSMidwestern University College Of Dental Medicine, GlendaleGraduated 2025

Enumeration DateJuly 2, 2025

NPPES CertifiedJuly 2, 2025

✔ NPI 1013806900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 111736

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.

12150 NEW YORK RANCH RD, Jackson, CA 95642

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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)

Sharon Thao Vi Tu Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406363472

PECOS Enrollment IDI20250725002242

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 95642 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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Other Providers at the Same Location NPPES 14

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

LYNN CHASTAIN

Dental Hygienist