DR. DAVID HAN WONG D.D.S.
NPI 1598789083
Dentist - Periodontics in Tulsa, OK

Active since July 27, 2006Opted out of Medicare · through Mar 10, 2027
4604 S HARVARD AVE, SUITE B, TULSA, OK 74135(918) 749-1850 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. David Han Wong D.d.s. NPPES

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

DR. DAVID HAN WONG D.D.S. (NPI 1598789083) is an individual periodontics provider in Tulsa, Oklahoma, licensed in Oklahoma (5501) and active in the NPI registry since July 2006. He has opted out of Medicare through March 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1598789083
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DAVID HAN WONGCredential: D.D.S.
Location Address4604 S HARVARD AVE, SUITE BTulsa, OK 74135-2922
Mailing Address4604 S Harvard Ave, Suite BTulsa, OK 74135-2922 · (918) 749-1850
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1598789083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OK · 5501
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.
4604 S HARVARD AVE, Tulsa, OK 74135

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. David Han Wong D.d.s. 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 March 10, 2025 through March 10, 2027.

Opt-Out Effective DateMarch 10, 2025
Opt-Out In Effect ThroughMarch 10, 2027Opt-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 74135 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Dentist (General Practice)
4604 S HARVARD AVE, SUITE A
TULSA, OK 74135
Dentist (General Practice)
4604 S HARVARD AVE, SUITE A
TULSA, OK 74135

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 David Wong's NPI number?

The NPI number for David Wong is 1598789083. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is David Wong located?

David Wong practices at 4604 S Harvard Ave Suite B, Tulsa, OK 74135. The listed phone number is (918) 749-1850.

What is David Wong's specialty?

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

Is David Wong enrolled in Medicare?

No. David Wong has opted out of Medicare through March 10, 2027. 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.

When was this NPI record last updated?

The NPPES record for David Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.