DR. TERESINA N WONG D.D.S.
NPI 1962509836
Dentist - General Practice in Benicia, CA

Q: What is Teresina Wong's NPI number?

The NPI number for Teresina Wong is 1962509836. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Teresina Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Teresina Wong enrolled in Medicare?

No. Teresina Wong has opted out of Medicare through December 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Teresina Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 20, 2006Opted out of Medicare · through Dec 12, 2027

2008 COLUMBUS PKWY, BENICIA, CA 94510(707) 745-3838(707) 745-3847 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Teresina N Wong D.d.s. NPPES

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

DR. TERESINA N WONG D.D.S. (NPI 1962509836) is an individual general practice provider in Benicia, California, licensed in California (38624) and active in the NPI registry since September 2006. She has opted out of Medicare through December 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962509836

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TERESINA N WONGCredential: D.D.S.

Location Address2008 COLUMBUS PKWYBenicia, CA 94510-5400

Mailing Address638 Castle Rock RdWalnut Creek, CA 94598-5110 · (925) 938-8028

Phone(707) 745-3838

Fax(707) 745-3847

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1962509836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 38624

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2008 COLUMBUS PKWY, Benicia, CA 94510

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Teresina N Wong D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 12, 2015 through December 12, 2027.

Opt-Out Effective DateDecember 12, 2015

Opt-Out In Effect ThroughDecember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94510 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

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.

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 Teresina Wong's NPI number?

The NPI number for Teresina Wong is 1962509836. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Teresina Wong located?

Teresina Wong practices at 2008 Columbus Pkwy, Benicia, CA 94510. The listed phone number is (707) 745-3838.

What is Teresina Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Teresina Wong enrolled in Medicare?

No. Teresina Wong has opted out of Medicare through December 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Teresina Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.