MICHELLE JANG DDS
NPI 1649879883
Dentist - General Practice in Los Angeles, CA

Q: What is Michelle Jang's NPI number?

The NPI number for Michelle Jang is 1649879883. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Q: What is Michelle Jang'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 Michelle Jang was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 20, 2020PECOS Enrolled

714 TIVERTON AVE, LOS ANGELES, CA 90095(310) 409-8121 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michelle Jang Dds NPPES

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

MICHELLE JANG DDS (NPI 1649879883) is an individual general practice provider in Los Angeles, California, licensed in California (DDS106760) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan School Of Dentistry (2020).

NPPES Registry Identity

NPI1649879883

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMICHELLE JANGCredential: DDS

Location Address714 TIVERTON AVELos Angeles, CA 90095-8361

Mailing AddressPo Box 36611Los Angeles, CA 90036-0611

Phone(310) 409-8121

Sole ProprietorNo

Medical School CMSUniversity Of Michigan School Of DentistryGraduated 2020

Enumeration DateOctober 20, 2020

Last NPPES UpdateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1649879883 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 · DDS106760

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.

714 TIVERTON AVE, Los Angeles, CA 90095

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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)

Michelle Jang Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860988557

PECOS Enrollment IDI20251231004163

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 90095 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 20

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

PEGA MOGHADAM HAJIAN

Dentist