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DR. IBRAHIM IRAWAN D.D.S.
NPI 1083827976
Dentist - General Practice in Glendora, CA

Active since May 07, 2007PECOS Enrolled
505 E ARROW HWY, GLENDORA, CA 91740(626) 335-2899(626) 335-3892 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ibrahim Irawan D.d.s. NPPES

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

DR. IBRAHIM IRAWAN D.D.S. (NPI 1083827976) is an individual general practice provider in Glendora, California, licensed in California (37119) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083827976
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IBRAHIM IRAWANCredential: D.D.S.
Location Address505 E ARROW HWYGlendora, CA 91740-6034
Mailing Address505 E Arrow HwyGlendora, CA 91740-6034 · (626) 335-2899 · Fax (626) 335-3892
Phone(626) 335-2899
Fax(626) 335-3892
Sole ProprietorYes
Enumeration DateMay 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083827976 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 · 37119
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.
505 E ARROW HWY, Glendora, CA 91740
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Ibrahim Irawan 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 91740 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.

Other Providers at the Same Location NPPES

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

IBRAHIM IRAWAN DDS
Dentist
505 E ARROW HWY
GLENDORA, CA 91740
Los Angeles County (626) 335-2899

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 Ibrahim Irawan's NPI number?

The NPI number for Ibrahim Irawan is 1083827976. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Ibrahim Irawan located?

Ibrahim Irawan practices at 505 E Arrow Hwy, Glendora, CA 91740. The listed phone number is (626) 335-2899.

What is Ibrahim Irawan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ibrahim Irawan enrolled in Medicare?

Yes. Ibrahim Irawan is registered in the Medicare PECOS enrollment system.

What insurance does Ibrahim Irawan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Ibrahim Irawan 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 Ibrahim Irawan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.