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DR. FUCONG TIAN BDS, PHD
NPI 1992295646
Dentist - Endodontics in Henrico, VA

Active since May 17, 2018Opted out of Medicare · through Dec 6, 2027
12040 W BROAD STREET, HENRICO, VA 23233(804) 364-7010(706) 721-6778 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, Apr 13, 2023, Nov 24, 2021 and 4 more (7 updates tracked since 2018).

About Dr. Fucong Tian Bds, Phd NPPES

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

DR. FUCONG TIAN BDS, PHD (NPI 1992295646) is an individual endodontics provider in Henrico, Virginia, licensed in Virginia (0401418375) and active in the NPI registry since May 2018. He has opted out of Medicare through December 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992295646
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. FUCONG TIANCredential: BDS, PHD
Location Address12040 W BROAD STREETHenrico, VA 23233
Mailing Address1612 Huguenot RoadMidlothian, VA 23113 · (804) 794-9789 · Fax (804) 419-1059
Phone(804) 364-7010
Fax(706) 721-6778
Sole ProprietorNo
Enumeration DateMay 17, 2018
Last NPPES UpdateJuly 9, 20247 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1992295646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in VA · 0401418375✔ Licensed in WA · DE61171559✔ Licensed in TX · 37946✔ Licensed in GA · DNF000434
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
12040 W BROAD STREET, Henrico, VA 23233
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Other Identifiers 2

MedicaidZX0434SC
Medicaid003241248AGA

Accepted Insurance

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

ⓘ

Opted out of Medicare

Dr. Fucong Tian Bds, Phd 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 6, 2023 through December 6, 2027.

Opt-Out Effective DateDecember 6, 2023
Opt-Out In Effect ThroughDecember 6, 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 23233 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 Fucong Tian's NPI number?

The NPI number for Fucong Tian is 1992295646. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Fucong Tian located?

Fucong Tian practices at 12040 W Broad Street, Henrico, VA 23233. The listed phone number is (804) 364-7010.

What is Fucong Tian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Fucong Tian enrolled in Medicare?

No. Fucong Tian has opted out of Medicare through December 6, 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.

What insurance does Fucong Tian accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 1 other insurer list Fucong Tian 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 Fucong Tian 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.