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DR. MARIE BEVERLY DIZON D.D.S., M.S.
NPI 1275989659
Dentist - Pediatric Dentistry in West Covina, CA

Active since May 04, 2016PECOS Enrolled
1516 STARDUST DR, WEST COVINA, CA 91790(626) 643-6911 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marie Beverly Dizon D.d.s., M.s. NPPES

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

DR. MARIE BEVERLY DIZON D.D.S., M.S. (NPI 1275989659) is an individual pediatric dentistry provider in West Covina, California, licensed in California (63959) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275989659
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARIE BEVERLY DIZONCredential: D.D.S., M.S.
Location Address1516 STARDUST DRWest Covina, CA 91790-4558
Mailing Address1516 Stardust DrWest Covina, CA 91790-4558 · (626) 643-6911
Phone(626) 643-6911
Sole ProprietorYes
Enumeration DateMay 4, 2016
Last NPPES UpdateMarch 2, 2020
NPPES CertifiedMarch 2, 2020
✔ NPI 1275989659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 63959
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 63959 (CA)
1516 STARDUST DR, West Covina, CA 91790
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Other Identifiers 1

Other63959CA · Ca Dental License

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marie Beverly Dizon D.d.s., M.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.

Medicare Billing Reassignment

Medicare enrollment records show Marie Beverly Dizon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro, Inc.
71 mi
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
1840 WEST DR
Vista, CA 92083
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1124793732 (619) 662-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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.

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 Marie Beverly Dizon's NPI number?

The NPI number for Marie Beverly Dizon is 1275989659. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Marie Beverly Dizon located?

Marie Beverly Dizon practices at 1516 Stardust Dr, West Covina, CA 91790. The listed phone number is (626) 643-6911.

What is Marie Beverly Dizon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Marie Beverly Dizon enrolled in Medicare?

Yes. Marie Beverly Dizon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marie Beverly Dizon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Beverly Dizon reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (Vista, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marie Beverly Dizon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Beverly Dizon 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 Florida Combined Life and 5 other insurers list Marie Beverly Dizon 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 Marie Beverly Dizon was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.