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RUPPORN PRIYAWAT
NPI 1033453667
Dentist - Oral and Maxillofacial Surgery in Chino Hills, CA

Active since November 20, 2012PECOS Enrolled
15911 POMONA RINCON RD STE 120, CHINO HILLS, CA 91709(909) 497-9449 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rupporn Priyawat NPPES

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

RUPPORN PRIYAWAT (NPI 1033453667) is an individual oral and maxillofacial surgery provider in Chino Hills, California, licensed in California (61647) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033453667
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameRUPPORN PRIYAWAT
Location Address15911 POMONA RINCON RD STE 120Chino Hills, CA 91709-5567
Mailing Address264 Desert BloomIrvine, CA 92618-8872 · (951) 999-1239
Phone(909) 497-9449
Sole ProprietorNo
Enumeration DateNovember 20, 2012
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1033453667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 61647
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 61647 (CA)
15911 POMONA RINCON RD STE 120, Chino Hills, CA 91709
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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, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Rupporn Priyawat 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 91709 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 3

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

MARIA KIM D.D.S.
Dentist (Oral and Maxillofacial Surgery)
15911 POMONA RINCON RD STE 120
CHINO HILLS, CA 91709
San Bernardino County (909) 497-9449
PRIYAWAT DENTAL GROUP INC
Dentist
15911 POMONA RINCON RD STE 120
CHINO HILLS, CA 91709
San Bernardino County (909) 497-9449
PRIYAWAT AND KIM DENTAL SERVICES
Clinic/Center (Oral and Maxillofacial Surgery)
15911 POMONA RINCON RD STE 120
CHINO HILLS, CA 91709
San Bernardino County (909) 497-9449

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 Rupporn Priyawat's NPI number?

The NPI number for Rupporn Priyawat is 1033453667. It was assigned to this individual provider in the NPPES registry on November 20, 2012.

Where is Rupporn Priyawat located?

Rupporn Priyawat practices at 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709. The listed phone number is (909) 497-9449.

What is Rupporn Priyawat's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Rupporn Priyawat enrolled in Medicare?

Yes. Rupporn Priyawat is registered in the Medicare PECOS enrollment system.

What insurance does Rupporn Priyawat accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Rupporn Priyawat 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 Rupporn Priyawat was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.