DR. TRACY G GOLDEN D.M.D.
NPI 1093741183
Dentist - Periodontics in Los Angeles, CA

Active since June 23, 2006PECOS Enrolled
10921 WILSHIRE BLVD, 1009, LOS ANGELES, CA 90024(310) 209-7572(310) 209-7574 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Tracy G Golden D.m.d. NPPES

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

DR. TRACY G GOLDEN D.M.D. (NPI 1093741183) is an individual periodontics provider in Los Angeles, California, licensed in California (33208) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093741183
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TRACY G GOLDENCredential: D.M.D.
Location Address10921 WILSHIRE BLVD, 1009Los Angeles, CA 90024-3906
Mailing Address10921 Wilshire Blvd, 1009Los Angeles, CA 90024-3906 · (310) 209-7572 · Fax (310) 209-7574
Fax(310) 209-7574
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093741183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 33208
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

10921 WILSHIRE BLVD, Los Angeles, CA 90024

Other Identifiers 1

Other33208CA · License Number

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. Tracy G Golden D.m.d. 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 90024 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 20

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

Dentist (General Practice)
10921 WILSHIRE BLVD, SUITE 1211
LOS ANGELES, CA 90024
Chiropractor
10921 WILSHIRE BLVD, SUITE 800
LOS ANGELES, CA 90024
Chiropractor
10921 WILSHIRE BLVD, SUITE# 801
LOS ANGELES, CA 90024
Dentist (General Practice)
10921 WILSHIRE BLVD, 1001
LOS ANGELES, CA 90024
Ophthalmology
10921 WILSHIRE BLVD, SUITE #900
LOS ANGELES, CA 90024
Psychologist
10921 WILSHIRE BLVD, SUITE 1206
LOS ANGELES, CA 90024
Psychologist (Clinical)
10921 WILSHIRE BLVD, #504
LOS ANGELES, CA 90024
Dermatology (Procedural Dermatology)
10921 WILSHIRE BLVD, SUITE 410
LOS ANGELES, CA 90024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093741183, enumerated as an "individual" on June 23, 2006.

The provider is located at 10921 WILSHIRE BLVD 1009 LOS ANGELES, CA 90024 and the phone number is (310) 209-7572.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.