DR. ETHAN DO DDS
NPI 1467921288
Dentist in Berkeley, CA

Active since November 21, 2018PECOS Enrolled
3017 TELEGRAPH AVE STE 310, BERKELEY, CA 94705(510) 841-7424 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ethan Do Dds NPPES

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

DR. ETHAN DO DDS (NPI 1467921288) is an individual dentist in Berkeley, California, licensed in California (103035) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467921288
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ETHAN DOCredential: DDS
Location Address3017 TELEGRAPH AVE STE 310Berkeley, CA 94705-2049
Mailing Address1250 9th Ave Apt 5San Francisco, CA 94122-2333 · (909) 538-3269
Sole ProprietorNo
Enumeration DateNovember 21, 2018
NPI 1467921288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 103035
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.
3017 TELEGRAPH AVE STE 310, Berkeley, CA 94705

Accepted 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)

Dr. Ethan Do 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 94705 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

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

Dentist (General Practice)
3017 TELEGRAPH AVE STE 310
BERKELEY, CA 94705

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 Ethan Do's NPI number?

The NPI number for Ethan Do is 1467921288. It was assigned to this individual provider in the NPPES registry on November 21, 2018.

Where is Ethan Do located?

Ethan Do practices at 3017 Telegraph Ave Ste 310, Berkeley, CA 94705. The listed phone number is (510) 841-7424.

What is Ethan Do's specialty?

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

Is Ethan Do enrolled in Medicare?

Yes. Ethan Do is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Do 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 4 other insurers list Ethan Do 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 Ethan Do was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.