DR. MICHAEL DARE TONG D.D.S.
NPI 1942579552
Dentist in Los Angeles, CA
About Dr. Michael Dare Tong D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL DARE TONG D.D.S. (NPI 1942579552) is an individual dentist in Los Angeles, California, licensed in California (60933) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Univ Of Calif, Los Angeles School Of Dentistry (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael Dare Tong D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Michael Tong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pahrump, NV 89048
- Reassigned Medicare billing, Nevada enrollment
- Medicare enrollment name: Rd Prabhu-Lata K Shete Mds Ltd
- 24 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 90095 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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Michael Tong's NPI number?
The NPI number for Michael Tong is 1942579552. It was assigned to this individual provider in the NPPES registry on December 28, 2011.
Where is Michael Tong located?
Michael Tong practices at 10833 Le Conte Ave, Los Angeles, CA 90095. The listed phone number is (310) 206-3904.
What is Michael Tong's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Michael Tong enrolled in Medicare?
Yes. Michael Tong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Michael Tong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Tong reassigns Medicare benefits to Rd Pabhu-Latak Shete MD's Ltd (Pahrump, NV). The 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 Michael Tong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Tong accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Michael Tong 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 Michael Tong was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Michael Dare Tong, D.D.S. · NPI 1942579552
Dentist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 28, 2011.
## Identity
- **NPI:** 1942579552 (Entity type: Individual)
- **Enumerated:** December 28, 2011
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 60933 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10833 LE CONTE AVE, Los Angeles, CA 90095-3075
- **Phone:** (310) 206-3904
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Rd Pabhu-Latak Shete MD's Ltd (NPI 1497304331, Pahrump, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Calif, Los Angeles School Of Dentistry, class of 2011
## Record status
- **NPPES last updated:** August 15, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1942579552) · Data from the CMS NPPES public registry.