KEVIN BANG DDS, MD
NPI 1619156551
Dentist - Oral and Maxillofacial Surgery in Daly City, CA

Active since October 29, 2007PECOS Enrolled
455 HICKEY BLVD STE 403, DALY CITY, CA 94015(917) 699-2815 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2017, Dec 1, 2015 (2 updates tracked since 2015).

About Kevin Bang Dds, Md NPPES

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

KEVIN BANG DDS, MD (NPI 1619156551) is an individual oral and maxillofacial surgery provider in Daly City, California, licensed in California (104) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619156551
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKEVIN BANGCredential: DDS, MD
Location Address455 HICKEY BLVD STE 403Daly City, CA 94015-2630
Mailing Address2520 Carlmont Dr Apt 9Belmont, CA 94002-3243 · (917) 699-2815
Sole ProprietorYes
Enumeration DateOctober 29, 2007
Last NPPES UpdateNovember 30, 20172 updates tracked since enumeration
NPI 1619156551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in CA · 104 Licensed in NY · 056677
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License A135925 (CA)
455 HICKEY BLVD STE 403, Daly City, CA 94015

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)

Kevin Bang Dds, Md 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 94015 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 (Prosthodontics)
455 HICKEY BLVD STE 403
DALY CITY, CA 94015

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 Kevin Bang's NPI number?

The NPI number for Kevin Bang is 1619156551. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Kevin Bang located?

Kevin Bang practices at 455 Hickey Blvd Ste 403, Daly City, CA 94015. The listed phone number is (917) 699-2815.

What is Kevin Bang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kevin Bang enrolled in Medicare?

Yes. Kevin Bang is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Bang accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Kevin Bang 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 Kevin Bang was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.