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DR. ALLAN WUN D.M.D.
NPI 1053750893
Dentist - Oral and Maxillofacial Surgery in Boston, MA

Active since June 14, 2013Opted out of Medicare · through Oct 1, 2026
1 KNEELAND ST., 5TH FLOOR/ DHS 503, BOSTON, MA 02111(303) 885-6024 Get Directions Write a Review

NPPES record last updated: June 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Allan Wun D.m.d. NPPES

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

DR. ALLAN WUN D.M.D. (NPI 1053750893) is an individual oral and maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (DN1856291) and active in the NPI registry since June 2013. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053750893
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ALLAN WUNCredential: D.M.D.
Location Address1 KNEELAND ST., 5TH FLOOR/ DHS 503Boston, MA 02111
Mailing Address10193 W. Wesley PlLakewood, CO 80227
Phone(303) 885-6024
Sole ProprietorYes
Enumeration DateJune 14, 2013
✔ NPI 1053750893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · DN1856291
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.
1 KNEELAND ST., Boston, MA 02111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Allan Wun D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 4

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

SHADEN KAYAL BDS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST., 8TH FLOOR
BOSTON, MA 02111
Suffolk County (617) 636-6971
HADEEL SULLMAN ALKHAMIS B.D.S
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST.
BOSTON, MA 02111
Suffolk County (617) 636-6591
MARTA ALVAREZ-NOVOA DDS
Dentist (Periodontics)
1 KNEELAND ST.
BOSTON, MA 02111
Suffolk County (617) 636-6531
MARIAM MALAMENT DMD, MSC, PHD
Dentist
1 KNEELAND ST., TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
BOSTON, MA 02111
Suffolk County (617) 636-2436

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 Allan Wun's NPI number?

The NPI number for Allan Wun is 1053750893. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is Allan Wun located?

Allan Wun practices at 1 Kneeland St. 5th Floor/ Dhs 503, Boston, MA 02111. The listed phone number is (303) 885-6024.

What is Allan Wun's specialty?

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

Is Allan Wun enrolled in Medicare?

No. Allan Wun has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Allan Wun was last updated on June 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.