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DR. JOHN YOUNG KWAN DDS
NPI 1205942992
Dentist - Periodontics in Oakland, CA

Active since August 22, 2006Opted out of Medicare · through Aug 19, 2027
6333 TELEGRAPH AVE, OAKLAND, CA 94609(510) 547-1300(510) 547-4976 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Young Kwan Dds NPPES

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

DR. JOHN YOUNG KWAN DDS (NPI 1205942992) is an individual periodontics provider in Oakland, California, licensed in California (29620) and active in the NPI registry since August 2006. He has opted out of Medicare through August 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205942992
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JOHN YOUNG KWANCredential: DDS
Location Address6333 TELEGRAPH AVEOakland, CA 94609
Mailing Address6333 Telegraph AveOakland, CA 94609 · (510) 547-1300 · Fax (510) 547-4976
Phone(510) 547-1300
Fax(510) 547-4976
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205942992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 29620
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6333 TELEGRAPH AVE, Oakland, CA 94609
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Young Kwan Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 19, 2019 through August 19, 2027.

Opt-Out Effective DateAugust 19, 2019
Opt-Out In Effect ThroughAugust 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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 20

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

SENOBIA FRANCES ELLIS
Counselor (Mental Health)
6333 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 923-1099
DR. EVAN RAPHAEL SANTIAGO D.D.S.
Dentist (Periodontics)
6333 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 547-1300
SELENE SINGH
Counselor
6333 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (109) 231-0995
TOSKA ISA MCQUEEN
Counselor
6333 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 923-1099
CARMEN GAGNE
Specialist
6333 TELEGRAPH AVE, SUITE 102
OAKLAND, CA 94609
Alameda County (510) 923-1099
SHAEONNA SHAMARA MUHAMMAD
Specialist
6333 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 407-4122
THERESA RUBIN-ORTIZ LCSW
Social Worker (Clinical)
6333 TELEGRAPH AVE, SUITE 102
OAKLAND, CA 94609
Alameda County (510) 923-1099
LESLIE TAYLOR PH.D
Specialist
6333 TELEGRAPH AVE, SUITE 102
OAKLAND, CA 94609
Alameda County (510) 923-1099

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 John Kwan's NPI number?

The NPI number for John Kwan is 1205942992. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is John Kwan located?

John Kwan practices at 6333 Telegraph Ave, Oakland, CA 94609. The listed phone number is (510) 547-1300.

What is John Kwan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is John Kwan enrolled in Medicare?

No. John Kwan has opted out of Medicare through August 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Kwan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.