DR. IAN MICHIO IWANE DDS
NPI 1467867374
Dentist in El Cerrito, CA

Active since June 30, 2014PECOS Enrolled
10102 SAN PABLO AVE, NONE, EL CERRITO, CA 94530(510) 559-9000 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ian Michio Iwane Dds NPPES

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

DR. IAN MICHIO IWANE DDS (NPI 1467867374) is an individual dentist in El Cerrito, California, licensed in California (52870) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467867374
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. IAN MICHIO IWANECredential: DDS
Location Address10102 SAN PABLO AVE, NONEEl Cerrito, CA 94530-3510
Mailing Address1536 Blake St, NoneBerkeley, CA 94703-1806 · (415) 845-0217
Sole ProprietorYes
Enumeration DateJune 30, 2014
Last NPPES UpdateJuly 23, 2014
NPI 1467867374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 52870
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.

10102 SAN PABLO AVE, El Cerrito, CA 94530

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. Ian Michio Iwane 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 94530 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 3

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

Dentist
10102 SAN PABLO AVE
EL CERRITO, CA 94530
Dentist (General Practice)
10102 SAN PABLO AVE
EL CERRITO, CA 94530
Dentist
10102 SAN PABLO AVE
EL CERRITO, CA 94530

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 Ian Iwane's NPI number?

The NPI number for Ian Iwane is 1467867374. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Ian Iwane located?

Ian Iwane practices at 10102 San Pablo Ave None, El Cerrito, CA 94530. The listed phone number is (510) 559-9000.

What is Ian Iwane's specialty?

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

Is Ian Iwane enrolled in Medicare?

Yes. Ian Iwane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Iwane was last updated on July 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.