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GEORGE JI JUN TAO DDS
NPI 1194867788
Dentist in Alta Loma, CA

Active since February 12, 2007PECOS Enrolled
6626 CARNELIAN ST, ALTA LOMA, CA 91701(909) 987-4113(909) 987-3673 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About George Ji Jun Tao Dds NPPES

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

GEORGE JI JUN TAO DDS (NPI 1194867788) is an individual dentist in Alta Loma, California, licensed in California (42703) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194867788
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameGEORGE JI JUN TAOCredential: DDS
Location Address6626 CARNELIAN STAlta Loma, CA 91701
Mailing Address9588 Baseline Rd. Ste 100Rancho Cucamonga, CA 91701-6439 · (909) 987-4113 · Fax (909) 987-3678
Phone(909) 987-4113
Fax(909) 987-3673
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
✔ NPI 1194867788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 42703
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.
6626 CARNELIAN ST, Alta Loma, CA 91701
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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)

George Ji Jun Tao 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91701 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 4

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

L. KHALIL DENTAL CORPORATION
Dentist (General Practice)
6626 CARNELIAN ST
RANCHO CUCAMONGA, CA 91701
San Bernardino County (909) 323-7469
GEORGE J. TAO, DDS, INC.
Dentist (General Practice)
6626 CARNELIAN ST
ALTA LOMA, CA 91701
San Bernardino County (909) 987-4113
WHITENHILL DENTAL CORPORATION
Clinic/Center (Dental)
6626 CARNELIAN ST
RANCHO CUCAMONGA, CA 91701
San Bernardino County (909) 821-6796
L. KHALIL DENTAL CORPORATION
Dentist (General Practice)
6626 CARNELIAN ST
RANCHO CUCAMONGA, CA 91701
San Bernardino County (562) 375-8441

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 George Tao's NPI number?

The NPI number for George Tao is 1194867788. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is George Tao located?

George Tao practices at 6626 Carnelian St, Alta Loma, CA 91701. The listed phone number is (909) 987-4113.

What is George Tao's specialty?

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

Is George Tao enrolled in Medicare?

Yes. George Tao is registered in the Medicare PECOS enrollment system.

What insurance does George Tao 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 6 other insurers list George Tao 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 George Tao was last updated on September 7, 2021. 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.