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TINA WAN
NPI 1669851564
Dentist in San Marcos, CA

Active since May 26, 2015PECOS Enrolled
709 CENTER DR, STE 101, SAN MARCOS, CA 92069(909) 374-5173 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina Wan NPPES

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

TINA WAN (NPI 1669851564) is an individual dentist in San Marcos, California, licensed in California (100840) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669851564
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTINA WAN
Location Address709 CENTER DR, STE 101San Marcos, CA 92069-2502
Mailing Address709 Center Dr, Ste 101San Marcos, CA 92069-2502 · (909) 374-5173
Phone(909) 374-5173
Sole ProprietorYes
Enumeration DateMay 26, 2015
Last NPPES UpdateNovember 17, 2016
✔ NPI 1669851564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 100840
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.
709 CENTER DR, San Marcos, CA 92069
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Accepted Insurance

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

Tina Wan 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 92069 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 4

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

NOSTI AND REAGAN DENTAL CORPORATION
Dentist (General Practice)
709 CENTER DR, STE. 101
SAN MARCOS, CA 92069
San Diego County (714) 508-3600
DR. STEVEN WERNICK DDS
Dentist (General Practice)
709 CENTER DR, STE. 101
SAN MARCOS, CA 92069
San Diego County (760) 746-2045
DR. KOUROS IZADI DMD
Dentist (Oral and Maxillofacial Surgery)
709 CENTER DR, STE. 101
SAN MARCOS, CA 92069
San Diego County (760) 746-2045
DR. THANH T TRAN D.D.S.
Dentist (General Practice)
709 CENTER DR, SUITE 101
SAN MARCOS, CA 92069
San Diego County (760) 746-2045

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 Tina Wan's NPI number?

The NPI number for Tina Wan is 1669851564. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Tina Wan located?

Tina Wan practices at 709 Center Dr Ste 101, San Marcos, CA 92069. The listed phone number is (909) 374-5173.

What is Tina Wan's specialty?

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

Is Tina Wan enrolled in Medicare?

Yes. Tina Wan is registered in the Medicare PECOS enrollment system.

What insurance does Tina Wan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Tina Wan 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 Tina Wan was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.