DR. KATHERINE CO TAN DMD
NPI 1639737414
Dentist - General Practice in San Diego, CA

Q: What is Katherine Tan's NPI number?

The NPI number for Katherine Tan is 1639737414. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Q: What is Katherine Tan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Tan was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 05, 2019PECOS Enrolled

3774 CLAIREMONT DR, SAN DIEGO, CA 92117(858) 274-1219 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2023, Nov 13, 2019, Aug 21, 2019 and 2 more (5 updates tracked since 2019).

On this page

About Dr. Katherine Co Tan Dmd NPPES

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

DR. KATHERINE CO TAN DMD (NPI 1639737414) is an individual general practice provider in San Diego, California, licensed in California (104321) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639737414

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KATHERINE CO TANCredential: DMD

Location Address3774 CLAIREMONT DRSan Diego, CA 92117-5916

Mailing Address3774 Clairemont DrSan Diego, CA 92117-5916 · (858) 274-1219

Phone(858) 274-1219

Sole ProprietorNo

Enumeration DateJune 5, 2019

Last NPPES UpdateOctober 6, 20235 updates tracked since enumeration

NPPES CertifiedOctober 6, 2023

✔ NPI 1639737414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 104321

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3774 CLAIREMONT DR, San Diego, CA 92117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Dr. Katherine Co Tan 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 92117 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 3

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

CINDY H. LY, DDS INC

Dentist (General Practice)

3774 CLAIREMONT DR
SAN DIEGO, CA 92117

San Diego County (858) 274-1219

KATHERINE C TAN DMD INC

Dentist (General Practice)

3774 CLAIREMONT DR
SAN DIEGO, CA 92117

San Diego County (858) 274-1219

DR. RAYMOND MOGA D.D.S.

Dentist (General Practice)

3774 CLAIREMONT DR
SAN DIEGO, CA 92117

San Diego County (858) 274-1219

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 Katherine Tan's NPI number?

The NPI number for Katherine Tan is 1639737414. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Katherine Tan located?

Katherine Tan practices at 3774 Clairemont Dr, San Diego, CA 92117. The listed phone number is (858) 274-1219.

What is Katherine Tan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Katherine Tan enrolled in Medicare?

Yes. Katherine Tan is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Tan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Katherine Tan 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 Katherine Tan was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.