KINGSLEY LIM WANG DDS
NPI 1790892487
Dentist - Oral and Maxillofacial Surgery in Woodland, CA

Active since August 25, 2006PECOS Enrolled
1100 MAIN ST, SUITE 100, WOODLAND, CA 95695(530) 207-5288(530) 207-5285 Get Directions Write a Review

NPPES record last updated: April 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kingsley Lim Wang Dds NPPES

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

KINGSLEY LIM WANG DDS (NPI 1790892487) is an individual oral and maxillofacial surgery provider in Woodland, California, licensed in California (47674) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790892487
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKINGSLEY LIM WANGCredential: DDS
Location Address1100 MAIN ST, SUITE 100Woodland, CA 95695-3513
Mailing Address1100 Main St, Suite 100Woodland, CA 95695-3513 · (530) 207-5288 · Fax (530) 207-5285
Fax(530) 207-5285
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateApril 16, 2010
✔ NPI 1790892487 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 · 47674
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.
1100 MAIN ST, Woodland, CA 95695

Other Identifiers 5

Medicare ID-Type UnspecifiedK27343
Medicare ID-Type UnspecifiedK27344
Medicare UPINV09058
Medicare ID-Type UnspecifiedK27342
Medicare ID-Type UnspecifiedK27341

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kingsley Lim Wang Dds 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 95695 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Psychologist
1100 MAIN ST, SUITE 250
WOODLAND, CA 95695

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 Kingsley Wang's NPI number?

The NPI number for Kingsley Wang is 1790892487. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Kingsley Wang located?

Kingsley Wang practices at 1100 Main St Suite 100, Woodland, CA 95695. The listed phone number is (530) 207-5288.

What is Kingsley Wang's specialty?

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

Is Kingsley Wang enrolled in Medicare?

Yes. Kingsley Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kingsley Wang was last updated on April 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.