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KIRAM YEO TUNG DMD
NPI 1497638175
Dentist in Ganado, AZ

Active since July 29, 2025PECOS Enrolled

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kiram Yeo Tung Dmd NPPES

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

KIRAM YEO TUNG DMD (NPI 1497638175) is an individual dentist in Ganado, Arizona, licensed in Arizona (D012492) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2025).

NPPES Registry Identity

NPI1497638175
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKIRAM YEO TUNGCredential: DMD
Location Address191 AZ-264Ganado, AZ 86505
Mailing Address830 S Winthrop CirMesa, AZ 85204-4633 · (602) 321-6549
Phone(928) 755-4861
Sole ProprietorNo
Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2025
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1497638175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012492
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.
191 AZ-264, Ganado, AZ 86505
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiram Yeo Tung Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183120785
PECOS Enrollment IDI20251002001860
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 86505 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.

Other Providers at the Same Location NPPES 2

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

MICHAEL ANTHONY KALLSEN FNP-BC
Nurse Practitioner (Family)
191 AZ-264
GANADO, AZ 86505
Apache County (509) 703-0262
VIVIAN DIEP DMD
Dentist
191 AZ-264
GANADO, AZ 86505
Apache County (928) 755-4500

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 Kiram Tung's NPI number?

The NPI number for Kiram Tung is 1497638175. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Kiram Tung located?

Kiram Tung practices at 191 Az-264, Ganado, AZ 86505. The listed phone number is (928) 755-4861.

What is Kiram Tung's specialty?

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

Is Kiram Tung enrolled in Medicare?

Yes. Kiram Tung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiram Tung was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.