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GOLDEN KONG DDS
NPI 1295466191
Dentist - General Practice in San Gabriel, CA

Active since June 21, 2022PECOS Enrolled
1404 S SAN GABRIEL BLVD STE A, SAN GABRIEL, CA 91776(424) 272-1994 Get Directions Write a Review

NPPES record last updated: November 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2024, Aug 6, 2022 (2 updates tracked since 2022).

About Golden Kong Dds NPPES

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

GOLDEN KONG DDS (NPI 1295466191) is an individual general practice provider in San Gabriel, California, licensed in California (107524) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295466191
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGOLDEN KONGCredential: DDS
Location Address1404 S SAN GABRIEL BLVD STE ASan Gabriel, CA 91776-3632
Mailing AddressPo Box 1436Monterey Park, CA 91754-8436
Phone(424) 272-1994
Sole ProprietorYes
Enumeration DateJune 21, 2022
Last NPPES UpdateNovember 24, 20242 updates tracked since enumeration
NPPES CertifiedNovember 24, 2024
✔ NPI 1295466191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 107524
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1404 S SAN GABRIEL BLVD STE A, San Gabriel, CA 91776
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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)

Golden Kong 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 91776 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.

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.

AMY WONG D.D.S., INC
Point of Service
1404 S SAN GABRIEL BLVD STE A
SAN GABRIEL, CA 91776
Los Angeles County (626) 863-8578
DR. AMY WONG DDS
Dentist
1404 S SAN GABRIEL BLVD STE A
SAN GABRIEL, CA 91776
Los Angeles County (626) 863-8578

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 Golden Kong's NPI number?

The NPI number for Golden Kong is 1295466191. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Golden Kong located?

Golden Kong practices at 1404 S San Gabriel Blvd Ste A, San Gabriel, CA 91776. The listed phone number is (424) 272-1994.

What is Golden Kong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Golden Kong enrolled in Medicare?

Yes. Golden Kong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Golden Kong was last updated on November 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.