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KYLIE WONG-HAZEHARA DMD
NPI 1043004005
Dentist in Seal Beach, CA

Active since April 07, 2025PECOS Enrolled
4732 FIR AVE, SEAL BEACH, CA 90740(626) 419-3681 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2025, Apr 7, 2025 (2 updates tracked since 2025).

About Kylie Wong-hazehara Dmd NPPES

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

KYLIE WONG-HAZEHARA DMD (NPI 1043004005) is an individual dentist in Seal Beach, California, licensed in California (111697) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043004005
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKYLIE WONG-HAZEHARACredential: DMD
Location Address4732 FIR AVESeal Beach, CA 90740-3011
Mailing Address4732 Fir AveSeal Beach, CA 90740-3011
Phone(626) 419-3681
Sole ProprietorYes
Enumeration DateApril 7, 2025
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1043004005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 111697
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.
4732 FIR AVE, Seal Beach, CA 90740
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Kylie Wong-hazehara Dmd 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 90740 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 Kylie Wong-hazehara's NPI number?

The NPI number for Kylie Wong-hazehara is 1043004005. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Kylie Wong-hazehara located?

Kylie Wong-hazehara practices at 4732 Fir Ave, Seal Beach, CA 90740. The listed phone number is (626) 419-3681.

What is Kylie Wong-hazehara's specialty?

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

Is Kylie Wong-hazehara enrolled in Medicare?

Yes. Kylie Wong-hazehara is registered in the Medicare PECOS enrollment system.

What insurance does Kylie Wong-hazehara accept?

Health plans from BEST Life, 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 3 other insurers list Kylie Wong-hazehara 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 Kylie Wong-hazehara was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.