1. Home
  2. Directory
  3. California
  4. Covina
  5. Dentist
  6. NPI Profile

DR. BRIAN RUSSELL WONG D.D.S.
NPI 1053456822
Dentist in Covina, CA

Active since February 20, 2007PECOS Enrolled
233 W BADILLO ST STE C, COVINA, CA 91723(626) 332-5911 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Russell Wong D.d.s. NPPES

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

DR. BRIAN RUSSELL WONG D.D.S. (NPI 1053456822) is an individual dentist in Covina, California, licensed in California (39577) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053456822
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRIAN RUSSELL WONGCredential: D.D.S.
Location Address233 W BADILLO ST STE CCovina, CA 91723-1966
Mailing Address233 W Badillo St Ste CCovina, CA 91723-1966 · (626) 332-5911
Phone(626) 332-5911
Sole ProprietorYes
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMay 1, 2014
✔ NPI 1053456822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 39577
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.
233 W BADILLO ST STE C, Covina, CA 91723
Open in Google Maps ↗

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)

Dr. Brian Russell 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 91723 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 Brian Wong's NPI number?

The NPI number for Brian Wong is 1053456822. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Brian Wong located?

Brian Wong practices at 233 W Badillo St Ste C, Covina, CA 91723. The listed phone number is (626) 332-5911.

What is Brian Wong's specialty?

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

Is Brian Wong enrolled in Medicare?

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

What insurance does Brian Wong 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 5 other insurers list Brian 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 Brian Wong was last updated on May 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.