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MISS SAMANTHA TING GUAN
NPI 1811570658
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since April 29, 2021PECOS Enrolled
6595C ROOSEVELT BLVD, PHILADELPHIA, PA 19149(215) 743-3700(215) 743-3715 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Jul 3, 2024, Jun 2, 2021 and 1 more (4 updates tracked since 2021).

About Miss Samantha Ting Guan NPPES

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

MISS SAMANTHA TING GUAN (NPI 1811570658) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS043509) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1811570658
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameMISS SAMANTHA TING GUAN
Location Address6595C ROOSEVELT BLVDPhiladelphia, PA 19149-2918
Mailing Address400 Beale StQuincy, MA 02170-3228 · (857) 756-0349
Phone(215) 743-3700
Fax(215) 743-3715
Sole ProprietorNo
Enumeration DateApril 29, 2021
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1811570658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in PA · DS043509✔ Licensed in NJ · 22DI03027500
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 7714 (NE)
6595C ROOSEVELT BLVD, Philadelphia, PA 19149
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14400 Emile St # 3602Omaha, NE 68198-0600 · Phone (402) 559-6000
Location 22301 E Allegheny Ave Ste 201Philadelphia, PA 19134-4427 · Phone (215) 282-8000 ext. 5 · Fax (215) 427-1782
Location 3805 Route 38Cherry Hill, NJ 08002-2850 · Phone (856) 281-7600

Accepted Insurance

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

Miss Samantha Ting Guan 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 19149 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 2

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

DR. SAPNA NATH DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
6595C ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (833) 543-7678
DR. ALLEN B TAN DDS
Dentist (Pediatric Dentistry)
6595C ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700

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 Samantha Guan's NPI number?

The NPI number for Samantha Guan is 1811570658. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Samantha Guan located?

Samantha Guan practices at 6595C Roosevelt Blvd, Philadelphia, PA 19149. The listed phone number is (215) 743-3700.

What is Samantha Guan's specialty?

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

Is Samantha Guan enrolled in Medicare?

Yes. Samantha Guan is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Guan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Samantha Guan 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 Samantha Guan was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.