1. Home
  2. Directory
  3. California
  4. Lodi
  5. Dentist
  6. NPI Profile

SOPHIA JIANG DMD
NPI 1336926906
Dentist in Lodi, CA

Active since September 08, 2023PECOS Enrolled
2610 REYNOLDS RANCH PKWY STE 100, LODI, CA 95240(209) 390-9379 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sophia Jiang Dmd NPPES

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

SOPHIA JIANG DMD (NPI 1336926906) is an individual dentist in Lodi, California, licensed in California (109321) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336926906
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSOPHIA JIANGCredential: DMD
Location Address2610 REYNOLDS RANCH PKWY STE 100Lodi, CA 95240-6890
Mailing AddressPo Box 2682Fremont, CA 94536-0682
Phone(209) 390-9379
Sole ProprietorNo
Enumeration DateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
✔ NPI 1336926906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 109321
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.
2610 REYNOLDS RANCH PKWY STE 100, Lodi, CA 95240
Open in Google Maps ↗

Accepted Insurance

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

Sophia Jiang Dmd 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 95240 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

SONNY MAHARJAN
Dentist (General Practice)
2610 REYNOLDS RANCH PKWY STE 100
LODI, CA 95240
San Joaquin County (209) 390-9379
DR. JANICE PARK DMD
Dentist (General Practice)
2610 REYNOLDS RANCH PKWY STE 100
LODI, CA 95240
San Joaquin County (209) 390-9379
ISHDEEP KAUR DDS
Dentist (General Practice)
2610 REYNOLDS RANCH PKWY STE 100
LODI, CA 95240
San Joaquin County (408) 614-8715
AHMED YOUSIF MOHAMMED AL-BAYATTI DDS
Dentist (General Practice)
2610 REYNOLDS RANCH PKWY STE 100
LODI, CA 95240
San Joaquin County (209) 390-9379

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 Sophia Jiang's NPI number?

The NPI number for Sophia Jiang is 1336926906. It was assigned to this individual provider in the NPPES registry on September 8, 2023.

Where is Sophia Jiang located?

Sophia Jiang practices at 2610 Reynolds Ranch Pkwy Ste 100, Lodi, CA 95240. The listed phone number is (209) 390-9379.

What is Sophia Jiang's specialty?

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

Is Sophia Jiang enrolled in Medicare?

Yes. Sophia Jiang is registered in the Medicare PECOS enrollment system.

What insurance does Sophia Jiang accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and UnitedHealthcare list Sophia Jiang 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 Sophia Jiang was last updated on September 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.