ALICIA FOLLMAR WANG DMD
NPI 1639578040
Dentist in Los Gatos, CA

Active since August 21, 2014PECOS Enrolled
14511 S BASCOM AVE, LOS GATOS, CA 95032(408) 356-3146(408) 356-0267 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alicia Follmar Wang Dmd NPPES

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

ALICIA FOLLMAR WANG DMD (NPI 1639578040) is an individual dentist in Los Gatos, California, licensed in California (63170) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639578040
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameALICIA FOLLMAR WANGCredential: DMD
Location Address14511 S BASCOM AVELos Gatos, CA 95032
Mailing Address14511 S Bascom AveLos Gatos, CA 95032 · (408) 356-3146 · Fax (408) 356-0267
Fax(408) 356-0267
Sole ProprietorYes
Enumeration DateAugust 21, 2014
Last NPPES UpdateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1639578040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 63170
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.
14511 S BASCOM AVE, Los Gatos, CA 95032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Follmar Wang 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 95032 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 (Oral and Maxillofacial Surgery)
14511 S BASCOM AVE
LOS GATOS, CA 95032

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 Alicia Wang's NPI number?

The NPI number for Alicia Wang is 1639578040. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Alicia Wang located?

Alicia Wang practices at 14511 S Bascom Ave, Los Gatos, CA 95032. The listed phone number is (408) 356-3146.

What is Alicia Wang's specialty?

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

Is Alicia Wang enrolled in Medicare?

Yes. Alicia Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Wang was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.