DR. MARIKO CHOETSOPON ODA D.M.D.
NPI 1174976831
Dentist in Ontario, CA

Q: What is Mariko Oda's NPI number?

The NPI number for Mariko Oda is 1174976831. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Q: What is Mariko Oda'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 Mariko Oda was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 18, 2016PECOS Enrolled

3640 HONEY GLEN WAY, ONTARIO, CA 91761(912) 577-5404 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mariko Choetsopon Oda D.m.d. NPPES

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

DR. MARIKO CHOETSOPON ODA D.M.D. (NPI 1174976831) is an individual dentist in Ontario, California, licensed in California (DDS100412) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174976831

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. MARIKO CHOETSOPON ODACredential: D.M.D.

Location Address3640 HONEY GLEN WAYOntario, CA 91761-0124

Mailing Address3640 Honey Glen WayOntario, CA 91761-0124 · (912) 577-5404

Phone(912) 577-5404

Sole ProprietorYes

Enumeration DateJuly 18, 2016

✔ NPI 1174976831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS100412

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.

3640 HONEY GLEN WAY, Ontario, CA 91761

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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. Mariko Choetsopon Oda 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 91761 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.

Other Providers at the Same Location NPPES

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

KHANH NHAT CHAU D.M.D

Dentist

3640 HONEY GLEN WAY
ONTARIO, CA 91761

San Bernardino County (408) 313-1938

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 Mariko Oda's NPI number?

The NPI number for Mariko Oda is 1174976831. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Where is Mariko Oda located?

Mariko Oda practices at 3640 Honey Glen Way, Ontario, CA 91761. The listed phone number is (912) 577-5404.

What is Mariko Oda's specialty?

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

Is Mariko Oda enrolled in Medicare?

Yes. Mariko Oda is registered in the Medicare PECOS enrollment system.

What insurance does Mariko Oda 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 4 other insurers list Mariko Oda 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 Mariko Oda was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.