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BRUCE SHINTARO ABE D.D.S.
NPI 1235104688
Dentist - Periodontics in San Diego, CA

Active since February 21, 2006PECOS Enrolled
501 WASHINGTON ST STE 740, SAN DIEGO, CA 92103(619) 393-7511 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce Shintaro Abe D.d.s. NPPES

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

BRUCE SHINTARO ABE D.D.S. (NPI 1235104688) is an individual periodontics provider in San Diego, California, licensed in California (47344) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235104688
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameBRUCE SHINTARO ABECredential: D.D.S.
Location Address501 WASHINGTON ST STE 740San Diego, CA 92103-2231
Mailing Address501 Washington St Ste 740San Diego, CA 92103-2231 · (619) 417-9910
Phone(619) 393-7511
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 24, 2023
✔ NPI 1235104688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 47344
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.
501 WASHINGTON ST STE 740, San Diego, CA 92103
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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)

Bruce Shintaro Abe 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 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 2

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

DR. ANNE SOOYUN KIM DDS
Dentist (General Practice)
501 WASHINGTON ST STE 740
SAN DIEGO, CA 92103
San Diego County (619) 296-2172
A.S. KIM DDS, INC.
Dentist (General Practice)
501 WASHINGTON ST STE 740
SAN DIEGO, CA 92103
San Diego County (619) 296-2172

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 Bruce Abe's NPI number?

The NPI number for Bruce Abe is 1235104688. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Bruce Abe located?

Bruce Abe practices at 501 Washington St Ste 740, San Diego, CA 92103. The listed phone number is (619) 393-7511.

What is Bruce Abe's specialty?

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

Is Bruce Abe enrolled in Medicare?

Yes. Bruce Abe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bruce Abe was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.