LIN PENG DMD
NPI 1750908075
Dentist in Tuba City, AZ
About Lin Peng Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIN PENG DMD (NPI 1750908075) is an individual dentist in Tuba City, Arizona, licensed in Kentucky (10489) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lin Peng Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lin Peng reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lechee, AZ 86040
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Tuba City Regional Health Care Corporation
- 540 clinicians in this Medicare group
Owingsville, KY 40360
- Reassigned Medicare billing, Kentucky enrollment
- 296 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Lin Peng's NPI number?
The NPI number for Lin Peng is 1750908075. It was assigned to this individual provider in the NPPES registry on July 2, 2020.
Where is Lin Peng located?
Lin Peng practices at 167 N Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2510.
What is Lin Peng's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Lin Peng enrolled in Medicare?
Yes. Lin Peng is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lin Peng's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lin Peng reassigns Medicare benefits to 2 organizations: Lechee Health Facility (Lechee, AZ) and St. Claire Medical Center, Inc (Owingsville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lin Peng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lin Peng accept?
Health plans from Best Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Lin Peng 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 Lin Peng was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Lin Peng, DMD · NPI 1750908075
Dentist provider in Tuba City, Arizona. Individual provider, active in the CMS NPPES registry since July 2, 2020.
## Identity
- **NPI:** 1750908075 (Entity type: Individual)
- **Enumerated:** July 2, 2020
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 10489 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 167 N MAIN STREET, Tuba City, AZ 86045
- **Phone:** (928) 283-2510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lechee Health Facility (NPI 1831448398, Lechee, AZ); St. Claire Medical Center, Inc (NPI 1134180920, Owingsville, KY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750908075) · Data from the CMS NPPES public registry.