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SHAN GONG D.M.D.
NPI 1912367269
Dentist - Orofacial Pain in Fresno, CA

Active since February 29, 2016PECOS Enrolled
8413 N MILLBROOK AVE STE 101, FRESNO, CA 93720(559) 448-9000 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Aug 21, 2024, Oct 8, 2019 and 1 more (4 updates tracked since 2016).

About Shan Gong D.m.d. NPPES

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

SHAN GONG D.M.D. (NPI 1912367269) is an individual orofacial pain provider in Fresno, California, licensed in California (101693) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912367269
Entity TypeIndividualFemale
Primary Taxonomy1223X2210X
Provider Legal NameSHAN GONGCredential: D.M.D.
Location Address8413 N MILLBROOK AVE STE 101Fresno, CA 93720-2195
Mailing Address8413 N Millbrook Ave Ste 101Fresno, CA 93720-2195 · (559) 448-9000 · Fax (559) 449-1142
Phone(559) 448-9000
Sole ProprietorYes
Enumeration DateFebruary 29, 2016
Last NPPES UpdateMay 11, 20264 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1912367269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License✔ Licensed in CA · 101693
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
8413 N MILLBROOK AVE STE 101, Fresno, CA 93720
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Shan Gong D.m.d. 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 93720 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

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

SHAN GONG DMD MS INC
Dentist (Orofacial Pain)
8413 N MILLBROOK AVE STE 101
FRESNO, CA 93720
Fresno County (559) 448-9000

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 Shan Gong's NPI number?

The NPI number for Shan Gong is 1912367269. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Shan Gong located?

Shan Gong practices at 8413 N Millbrook Ave Ste 101, Fresno, CA 93720. The listed phone number is (559) 448-9000.

What is Shan Gong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Shan Gong enrolled in Medicare?

Yes. Shan Gong is registered in the Medicare PECOS enrollment system.

What insurance does Shan Gong 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 Shan Gong 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 Shan Gong was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.