TYLER WONG
NPI 1396538773
Dentist in Phoenix, AZ

Q: What is Tyler Wong's NPI number?

The NPI number for Tyler Wong is 1396538773. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Q: What is Tyler Wong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Wong was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 27, 2025PECOS Enrolled

35004 N NORTH VALLEY PKWY, PHOENIX, AZ 85086(623) 879-9503 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2025, May 27, 2025 (2 updates tracked since 2025).

On this page

About Tyler Wong NPPES

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

TYLER WONG (NPI 1396538773) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D012499) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396538773

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTYLER WONG

Location Address35004 N NORTH VALLEY PKWYPhoenix, AZ 85086-3254

Mailing Address35004 N North Valley Pkwy Ste 110Phoenix, AZ 85086-3255 · (623) 879-9503

Phone(623) 879-9503

Sole ProprietorNo

Enumeration DateMay 27, 2025

Last NPPES UpdateJune 9, 20252 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1396538773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D012499

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.

35004 N NORTH VALLEY PKWY, Phoenix, AZ 85086

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Alabama 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)

Tyler Wong 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 85086 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 Tyler Wong's NPI number?

The NPI number for Tyler Wong is 1396538773. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Tyler Wong located?

Tyler Wong practices at 35004 N North Valley Pkwy, Phoenix, AZ 85086. The listed phone number is (623) 879-9503.

What is Tyler Wong's specialty?

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

Is Tyler Wong enrolled in Medicare?

Yes. Tyler Wong is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Wong accept?

Health plans from Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Tyler Wong 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 Tyler Wong was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.