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DONG SONG DDS
NPI 1932625522
Dentist in Kenosha, WI

Active since August 16, 2017PECOS Enrolled
6430 GREEN BAY RD, KENOSHA, WI 53142(888) 988-4066 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Aug 16, 2017 (2 updates tracked since 2017).

About Dong Song Dds NPPES

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

DONG SONG DDS (NPI 1932625522) is an individual dentist in Kenosha, Wisconsin, licensed in Illinois (019.032957) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932625522
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDONG SONGCredential: DDS
Location Address6430 GREEN BAY RDKenosha, WI 53142-2948
Mailing Address2050 E Algonquin RdSchaumburg, IL 60173-4144 · (888) 988-4066
Phone(888) 988-4066
Sole ProprietorNo
Enumeration DateAugust 16, 2017
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1932625522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.032957
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6430 GREEN BAY RD, Kenosha, WI 53142
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Accepted Insurance

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

Dong Song 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 53142 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 3

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

JASJOT CHAHIL DDS
Dentist
6430 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (888) 988-4066
KRUPA M PATEL
Dentist (General Practice)
6430 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 653-3980
AIDAN PARK DDS
Dentist
6430 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (888) 988-4066

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 Dong Song's NPI number?

The NPI number for Dong Song is 1932625522. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Dong Song located?

Dong Song practices at 6430 Green Bay Rd, Kenosha, WI 53142. The listed phone number is (888) 988-4066.

What is Dong Song's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dong Song enrolled in Medicare?

Yes. Dong Song is registered in the Medicare PECOS enrollment system.

What insurance does Dong Song 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 Dong Song 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 Dong Song was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.