1. Home
  2. Directory
  3. Washington
  4. Puyallup
  5. Dentist
  6. NPI Profile

JENNY FANG
NPI 1235701053
Dentist in Puyallup, WA

Active since July 12, 2021PECOS Enrolled
803 39TH AVE SW STE F, PUYALLUP, WA 98373(253) 445-1500 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2022, Jul 12, 2021 (2 updates tracked since 2021).

About Jenny Fang NPPES

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

JENNY FANG (NPI 1235701053) is an individual dentist in Puyallup, Washington, licensed in Washington (DE61178265) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maple Valley.

NPPES Registry Identity

NPI1235701053
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJENNY FANG
Location Address803 39TH AVE SW STE FPuyallup, WA 98373-3692
Mailing Address26205 116th Ave Se Apt A302Kent, WA 98030-8445
Phone(253) 445-1500
Sole ProprietorNo
Enumeration DateJuly 12, 2021
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1235701053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE61178265
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE61178265 (WA)
803 39TH AVE SW STE F, Puyallup, WA 98373
Open in Google Maps ↗

Secondary Practice Location 1

Location 126555 Maple Valley Black Diamond Rd SE Ste L100Maple Valley, WA 98038-8478 · Phone (425) 906-9119

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Jenny Fang 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 98373 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 3

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

MAGNOLIA NATUROPATHIC MEDICINE, LLC
Clinic/Center (Medical Specialty)
803 39TH AVE SW STE F
PUYALLUP, WA 98373
Pierce County (253) 848-1055
PUYALLUP WELLNESS CENTER
Naturopath
803 39TH AVE SW STE F
PUYALLUP, WA 98373
Pierce County (253) 848-1055
ISABELLE BERNADETTE DALTON L.M.P., PH.D
Massage Therapist
803 39TH AVE SW STE F
PUYALLUP, WA 98373
Pierce County (253) 221-7374

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 Jenny Fang's NPI number?

The NPI number for Jenny Fang is 1235701053. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Jenny Fang located?

Jenny Fang practices at 803 39th Ave SW Ste F, Puyallup, WA 98373. The listed phone number is (253) 445-1500.

What is Jenny Fang's specialty?

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

Is Jenny Fang enrolled in Medicare?

Yes. Jenny Fang is registered in the Medicare PECOS enrollment system.

What insurance does Jenny Fang accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 5 other insurers list Jenny Fang 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 Jenny Fang was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.