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DR. TINA CHANG DMD MD
NPI 1336302728
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since July 07, 2008PECOS Enrolled
11301 WILSHIRE BLVD # W160, LOS ANGELES, CA 90073(310) 268-3776 Get Directions Write a Review

NPPES record last updated: October 12, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Tina Chang Dmd Md NPPES

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

DR. TINA CHANG DMD MD (NPI 1336302728) is an individual oral and maxillofacial surgery provider in Los Angeles, California, licensed in California (51324A99621) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336302728
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TINA CHANGCredential: DMD MD
Location Address11301 WILSHIRE BLVD # W160Los Angeles, CA 90073-1003
Mailing Address11301 Wilshire Blvd # W160Los Angeles, CA 90073-1003 · (310) 268-3776
Phone(310) 268-3776
Sole ProprietorYes
Enumeration DateJuly 7, 2008
Last NPPES UpdateOctober 12, 2008
✔ NPI 1336302728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 51324A99621
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

11301 WILSHIRE BLVD # W160, Los Angeles, CA 90073
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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)

Dr. Tina Chang Dmd Md 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 90073 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

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

DR. DONALD YUEN SZE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
11301 WILSHIRE BLVD # W160, BLDG 500, GROUND FLOOR, DENTAL CLINIC
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3264

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 Tina Chang's NPI number?

The NPI number for Tina Chang is 1336302728. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Tina Chang located?

Tina Chang practices at 11301 Wilshire Blvd # W160, Los Angeles, CA 90073. The listed phone number is (310) 268-3776.

What is Tina Chang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Tina Chang enrolled in Medicare?

Yes. Tina Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Chang was last updated on October 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.