DR. CHANCHAI SANGSURASAK D.D.S
NPI 1164652053
Dentist - General Practice in Riverside, CA

Q: What is Chanchai Sangsurasak's NPI number?

The NPI number for Chanchai Sangsurasak is 1164652053. It was assigned to this individual provider in the NPPES registry on July 25, 2009.

Q: What is Chanchai Sangsurasak's specialty?

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

Active since July 25, 2009PECOS Enrolled

3410 LA SIERRA AVE STE D, RIVERSIDE, CA 92503(951) 354-9550 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Chanchai Sangsurasak D.d.s NPPES

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

DR. CHANCHAI SANGSURASAK D.D.S (NPI 1164652053) is an individual general practice provider in Riverside, California, licensed in California (58501) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164652053

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CHANCHAI SANGSURASAKCredential: D.D.S

Location Address3410 LA SIERRA AVE STE DRiverside, CA 92503-5205

Mailing Address3410 La Sierra Ave Ste DRiverside, CA 92503-5205 · (951) 354-9550

Phone(951) 354-9550

Sole ProprietorNo

Enumeration DateJuly 25, 2009

Last NPPES UpdateOctober 2, 2013

✔ NPI 1164652053 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 · 58501

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.

3410 LA SIERRA AVE STE D, Riverside, CA 92503

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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. Chanchai Sangsurasak 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 92503 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 Chanchai Sangsurasak's NPI number?

The NPI number for Chanchai Sangsurasak is 1164652053. It was assigned to this individual provider in the NPPES registry on July 25, 2009.

Where is Chanchai Sangsurasak located?

Chanchai Sangsurasak practices at 3410 La Sierra Ave Ste D, Riverside, CA 92503. The listed phone number is (951) 354-9550.

What is Chanchai Sangsurasak's specialty?

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

Is Chanchai Sangsurasak enrolled in Medicare?

Yes. Chanchai Sangsurasak is registered in the Medicare PECOS enrollment system.

What insurance does Chanchai Sangsurasak 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 Chanchai Sangsurasak 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 Chanchai Sangsurasak was last updated on October 2, 2013. 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.