DR. JUSTIN TIN DDS
NPI 1124233663
Dentist in San Francisco, CA

Q: What is Justin Tin's NPI number?

The NPI number for Justin Tin is 1124233663. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Justin Tin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Tin was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 10, 2007PECOS Enrolled

2817 SAN BRUNO AVE, SAN FRANCISCO, CA 94134(415) 656-2868(415) 656-2865 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Justin Tin Dds NPPES

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

DR. JUSTIN TIN DDS (NPI 1124233663) is an individual dentist in San Francisco, California, licensed in California (37744) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124233663

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JUSTIN TINCredential: DDS

Location Address2817 SAN BRUNO AVESan Francisco, CA 94134-1510

Mailing Address2819 San Bruno AveSan Francisco, CA 94134-1510 · (415) 656-2868 · Fax (415) 656-2865

Phone(415) 656-2868

Fax(415) 656-2865

Sole ProprietorNo

Enumeration DateMay 10, 2007

Last NPPES UpdateSeptember 29, 2015

✔ NPI 1124233663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 37744

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.

2817 SAN BRUNO AVE, San Francisco, CA 94134

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Other Identifiers 1

OtherB37744CA · Dentical

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin Tin Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Tin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Justin Tin DDS Dental Group A Professional Corporation

4.7 mi

Dentist

1636 NORIEGA ST
San Francisco, CA 94122

Reassigned Medicare billing, California enrollment

NPI 1649900622 (628) 628-1636

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

52 services46 patients

Repair of lower jaw bone with bone graft 21215

This procedure involves the use of bone grafts to repair defects or damages in your lower jaw bone. A bone graft is a piece of bone taken from another part of your body or a special bone material. It helps stimulate new bone growth and provide structural stability.

49 services27 patients

Removal of lower jaw bone 21025

The removal of the lower jaw bone, or mandibulectomy, is a surgical procedure performed to treat conditions like oral cancer or severe trauma. It involves removing part or all of the lower jaw to prevent disease spread or repair damage. Post-surgery, reconstructive measures may be taken for functionality and appearance.

42 services23 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

42 services42 patients

Repair of nasal or cheek bone with bone graft 21210

This procedure involves fixing damaged nasal or cheek bones using a bone graft. A bone graft is a piece of healthy bone taken from another area of your body, or a special bone-like material. It's used to help your damaged bone heal, restore its original shape, or improve its function.

34 services17 patients

Removal of face bone 21026

Removal of a facial bone is a surgical procedure aimed at treating conditions like tumors or fractures. It involves making incisions to access the affected bone, then carefully removing it. This procedure requires general anesthesia and may result in temporary facial swelling or numbness.

32 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94134 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 5

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

DR. JACK SUN DMD

Dentist