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DR. KOREN I T IKEDA DOCTOR OF DENTAL MED
NPI 1184742744
Dentist - General Practice in Staton, CA

Active since March 26, 2007PECOS Enrolled
7092 KATELLA AVE., STATON, CA 90680(714) 761-0564 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Koren I T Ikeda Doctor Of Dental Med NPPES

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

DR. KOREN I T IKEDA DOCTOR OF DENTAL MED (NPI 1184742744) is an individual general practice provider in Staton, California, licensed in California (34347) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184742744
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KOREN I T IKEDACredential: DOCTOR OF DENTAL MED
Location Address7092 KATELLA AVE.Staton, CA 90680-5179
Mailing AddressP.o. Box 284Stanton, CA 90680-5179 · (714) 761-0564
Phone(714) 761-0564
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1184742744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 34347
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.
Also ListedDentistTaxonomy 122300000X · License 34347 (CA)
7092 KATELLA AVE., Staton, CA 90680
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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. Koren I T Ikeda Doctor Of Dental Med 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 90680 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.

DR. RONALD TETSUO TAKATA DOCTOR OF DENTAL MED
Dentist (General Practice)
7092 KATELLA AVE.
STANTON, CA 90680
Orange County (714) 761-0564

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 Koren Ikeda's NPI number?

The NPI number for Koren Ikeda is 1184742744. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Koren Ikeda located?

Koren Ikeda practices at 7092 Katella Ave., Staton, CA 90680. The listed phone number is (714) 761-0564.

What is Koren Ikeda's specialty?

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

Is Koren Ikeda enrolled in Medicare?

Yes. Koren Ikeda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Koren Ikeda was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.