DR. ANDREW HUN CHON DMD
NPI 1457707374
Dentist - Periodontics in Fontana, CA

Active since May 10, 2016Opted out of Medicare · through Dec 15, 2026
16475 SIERRA LAKES PKWY STE 140, FONTANA, CA 92336(909) 357-0869 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, May 10, 2016 (2 updates tracked since 2016).

About Dr. Andrew Hun Chon Dmd NPPES

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

DR. ANDREW HUN CHON DMD (NPI 1457707374) is an individual periodontics provider in Fontana, California, licensed in California (112761) and active in the NPI registry since May 2016. He has opted out of Medicare through December 15, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457707374
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ANDREW HUN CHONCredential: DMD
Location Address16475 SIERRA LAKES PKWY STE 140Fontana, CA 92336-1259
Mailing Address1688 W Sallie LnAnaheim, CA 92802-2424
Sole ProprietorYes
Enumeration DateMay 10, 2016
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1457707374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 112761
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

16475 SIERRA LAKES PKWY STE 140, Fontana, CA 92336

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Andrew Hun Chon Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2020 through December 15, 2026.

Opt-Out Effective DateDecember 15, 2020
Opt-Out In Effect ThroughDecember 15, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 6

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

Dentist
16475 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Dentist
16475 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Dentist (General Practice)
16475 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Dentist (General Practice)
16475 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Dentist (General Practice)
16475 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Dentist
16475 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336

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 Andrew Chon's NPI number?

The NPI number for Andrew Chon is 1457707374. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Andrew Chon located?

Andrew Chon practices at 16475 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336. The listed phone number is (909) 357-0869.

What is Andrew Chon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Andrew Chon enrolled in Medicare?

No. Andrew Chon has opted out of Medicare through December 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Andrew Chon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Andrew Chon 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 Andrew Chon was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.