TUAN PHUONG CAO DDS
NPI 1306455654
Dentist - General Practice in Chicago, IL

Q: What is Tuan Cao's NPI number?

The NPI number for Tuan Cao is 1306455654. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Q: What is Tuan Cao's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tuan Cao was last updated on September 1, 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.

Active since July 23, 2020PECOS Enrolled

4641 W DIVERSEY AVE, CHICAGO, IL 60639(773) 692-4147 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2022, Aug 18, 2020, Jul 23, 2020 (3 updates tracked since 2020).

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About Tuan Phuong Cao Dds NPPES

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

TUAN PHUONG CAO DDS (NPI 1306455654) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.033896) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306455654

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameTUAN PHUONG CAOCredential: DDS

Location Address4641 W DIVERSEY AVEChicago, IL 60639-1828

Mailing Address4529 Saint Mary StMetairie, LA 70006-2029 · (504) 458-1217

Phone(773) 692-4147

Sole ProprietorYes

Enumeration DateJuly 23, 2020

Last NPPES UpdateSeptember 1, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2022

✔ NPI 1306455654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019.033896

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.

Also ListedDentistTaxonomy 122300000X · License 7091 (LA)

4641 W DIVERSEY AVE, Chicago, IL 60639

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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)

Tuan Phuong Cao 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 60639 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 4

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

MAXIME BOUVAGNET DMD

Dentist

4641 W DIVERSEY AVE
CHICAGO, IL 60639

Cook County (773) 692-4147

MICHAEL TSANG DMD, MA

Dentist

4641 W DIVERSEY AVE
CHICAGO, IL 60639

Cook County (773) 692-4147

ELVI ROCI DMD

Dentist (General Practice)

4641 W DIVERSEY AVE
CHICAGO, IL 60639

Cook County (773) 692-4147

PRECISION DENTAL CARE, LLC

Dentist (General Practice)

4641 W DIVERSEY AVE
CHICAGO, IL 60639

Cook County (772) 202-0333

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 Tuan Cao's NPI number?

The NPI number for Tuan Cao is 1306455654. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Tuan Cao located?

Tuan Cao practices at 4641 W Diversey Ave, Chicago, IL 60639. The listed phone number is (773) 692-4147.

What is Tuan Cao's specialty?

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

Is Tuan Cao enrolled in Medicare?

Yes. Tuan Cao is registered in the Medicare PECOS enrollment system.

What insurance does Tuan Cao accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Louisiana Healthcare Connections and 12 other insurers list Tuan Cao 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 Tuan Cao was last updated on September 1, 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.