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CHRISTINA PENN DMD
NPI 1609239557
Dentist - Endodontics in Brentwood, CA

Active since March 29, 2016PECOS Enrolled
1140 2ND ST STE B, BRENTWOOD, CA 94513(925) 240-8111 Get Directions Write a Review

NPPES record last updated: August 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2019, Jun 12, 2019, Mar 29, 2016 (3 updates tracked since 2016).

About Christina Penn Dmd NPPES

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

CHRISTINA PENN DMD (NPI 1609239557) is an individual endodontics provider in Brentwood, California, licensed in California (DDS103903) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609239557
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameCHRISTINA PENNCredential: DMD
Location Address1140 2ND ST STE BBrentwood, CA 94513-2223
Mailing Address1140 2nd St Ste BBrentwood, CA 94513-2223 · (925) 240-8111
Phone(925) 240-8111
Sole ProprietorYes
Enumeration DateMarch 29, 2016
Last NPPES UpdateAugust 11, 20193 updates tracked since enumeration
✔ NPI 1609239557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · DDS103903
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1140 2ND ST STE B, Brentwood, CA 94513
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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)

Christina Penn Dmd 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 94513 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.

SAJINI SASTHRI RAJAPUTRAGE
Dentist
1140 2ND ST STE B
BRENTWOOD, CA 94513
Contra Costa County (925) 240-8111

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 Christina Penn's NPI number?

The NPI number for Christina Penn is 1609239557. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Christina Penn located?

Christina Penn practices at 1140 2nd St Ste B, Brentwood, CA 94513. The listed phone number is (925) 240-8111.

What is Christina Penn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Christina Penn enrolled in Medicare?

Yes. Christina Penn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christina Penn was last updated on August 11, 2019. 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.