DR. WILLIAM KENNETH TOM D.D.S., M.S.
NPI 1720206899
Dentist - Oral and Maxillofacial Surgery in Ukiah, CA

Q: What is William Tom's NPI number?

The NPI number for William Tom is 1720206899. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is William Tom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for William Tom 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.

Active since April 23, 2007PECOS Enrolled

620 S DORA ST, SUITE 205, UKIAH, CA 95482(707) 462-6983 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. William Kenneth Tom D.d.s., M.s. NPPES

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

DR. WILLIAM KENNETH TOM D.D.S., M.S. (NPI 1720206899) is an individual oral and maxillofacial surgery provider in Ukiah, California, licensed in California (37747) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720206899

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. WILLIAM KENNETH TOMCredential: D.D.S., M.S.

Location Address620 S DORA ST, SUITE 205Ukiah, CA 95482-5466

Mailing Address620 S Dora St, Suite 205Ukiah, CA 95482-5466 · (707) 462-6983

Phone(707) 462-6983

Sole ProprietorNo

Enumeration DateApril 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720206899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 37747

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

620 S DORA ST, Ukiah, CA 95482

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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. William Kenneth Tom D.d.s., M.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 95482 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 5

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

SETAREH ENGHIAD DDS INC

Clinic/Center (Dental)

620 S DORA ST
UKIAH, CA 95482

Mendocino County (707) 468-8080

DR. STEVEN ROBERT BOETTGER D. D. S.

Dentist (Oral and Maxillofacial Surgery)

620 S DORA ST, SUITE 205
UKIAH, CA 95482

Mendocino County (707) 462-6983

DR. GEORGE M MORARASU DDS

Dentist (General Practice)

620 S DORA ST, SUITE 202
UKIAH, CA 95482

Mendocino County (651) 253-8550

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Internal Medicine (Pulmonary Disease)

620 S DORA ST, STE 102 WEST
UKIAH, CA 95482

Mendocino County (707) 462-1516

MR. ANTHONY DIXON MORRIS L.AC.

Acupuncturist

620 S DORA ST, SUITE #102
UKIAH, CA 95482

Mendocino County (707) 462-9900

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 William Tom's NPI number?

The NPI number for William Tom is 1720206899. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is William Tom located?

William Tom practices at 620 S Dora St Suite 205, Ukiah, CA 95482. The listed phone number is (707) 462-6983.

What is William Tom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is William Tom enrolled in Medicare?

Yes. William Tom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Tom 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.