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DR. THOMAS S TANBONLIONG D.D.S.
NPI 1689886624
Dentist - Pediatric Dentistry in Los Angeles, CA

Active since May 03, 2007PECOS Enrolled
411 N LARCHMONT BLVD, LOS ANGELES, CA 90004(323) 304-5763 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas S Tanbonliong D.d.s. NPPES

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

DR. THOMAS S TANBONLIONG D.D.S. (NPI 1689886624) is an individual pediatric dentistry provider in Los Angeles, California, licensed in California (42618) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689886624
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. THOMAS S TANBONLIONGCredential: D.D.S.
Location Address411 N LARCHMONT BLVDLos Angeles, CA 90004-3013
Mailing Address411 N Larchmont BlvdLos Angeles, CA 90004-3013 · (323) 304-5763
Phone(323) 304-5763
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689886624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 42618
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
411 N LARCHMONT BLVD, Los Angeles, CA 90004
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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)

Dr. Thomas S Tanbonliong D.d.s. 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 90004 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

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

DR. JAMES R GIBBONS DDS
Dentist (Pediatric Dentistry)
411 N LARCHMONT BLVD
LOS ANGELES, CA 90004
Los Angeles County (323) 466-3279

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 Thomas Tanbonliong's NPI number?

The NPI number for Thomas Tanbonliong is 1689886624. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Thomas Tanbonliong located?

Thomas Tanbonliong practices at 411 N Larchmont Blvd, Los Angeles, CA 90004. The listed phone number is (323) 304-5763.

What is Thomas Tanbonliong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Thomas Tanbonliong enrolled in Medicare?

Yes. Thomas Tanbonliong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Tanbonliong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.