DR. ELAINE H WANG D.D.S.
NPI 1518275890
Dentist - General Practice in Richmond, CA

NPI Status: Active since September 20, 2010

Contact Information

265 16TH ST
RICHMOND, CA
ZIP 94801
Phone: (510) 233-6515

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  • Individual
  • Female
  • Dentist
  • General Practice
  • PECOS Enrolled
  • Opted-Out Medicare

About ELAINE WANG

This page provides the complete NPI Profile along with additional information for Elaine Wang, a provider established in Richmond, California with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1518275890 assigned on September 2010. The practitioner's primary taxonomy code is 1223G0001X with license number 59539 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1518275890
Provider Name
DR. ELAINE H WANG D.D.S.
Gender
Female
Entity Type
Individual
Location Address
265 16TH ST RICHMOND, CA 94801
Location Phone
(510) 233-6515
Mailing Address
265 16TH ST RICHMOND, CA 94801
Is Sole Proprietor?
Yes
Enumeration Date
09-20-2010
Last Update Date
01-22-2018
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A dentist like Elaine Wang is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Elaine Wang opted out of Medicare effective on 12-15-2015 until 12-15-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
59539
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Elaine Wang is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 12-15-2015

  • Opt-Out End Date: 12-15-2025

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $104.51
  • Minimum New Patient Price $69
  • Maximum New Patient Price $202.35
  • Average New Patient Copayment $26.12
  • Minimum New Patient Copayment $17.25
  • Maximum New Patient Copayment $50.58

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $84.91
  • Minimum Established Patient Price $23.44
  • Maximum Established Patient Price $166.46
  • Average Established Patient Copayment $21.22
  • Minimum Established Patient Copayment $5.86
  • Maximum Established Patient Copayment $41.61

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ELAINE H WANG D.D.S.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518275890
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25284710818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 4 + 7 + 1 + 0 + 8 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518275890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487788212DR. REYNALDO BENNETT WILSON DDS
Individual
Dentist (General Practice)265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1124143607DR. THEODORE SHIRAI D.D.S.
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 541-7549
1386761724DR. NAHREEN IMAM D.D.S.
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1093832438DR. PHILIP GREGG MELANDER D.D.S.
Individual
Dentist (General Practice)265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1114453784DR. KEVIN WU YU D.M.D.
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1083248348 CHANYOUNG LEE
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1033677703 SONAL ANAND
Individual
Dentist (General Practice)265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1730257098CHESTER T. LOW, DDS, INC.
Organization
Clinic/Center (Dental)265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1265047294 CALVIN TRAN DMD
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1174298806 BINH NGOC TRAN DDS
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1750166393DR. ELEISKA YUSEN HERRERA DE SALVATIERRA DDS
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518275890, enumerated in the NPI registry as an "individual" on September 20, 2010

The provider is located at 265 16th St Richmond, Ca 94801 and the phone number is (510) 233-6515

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $104.51 with an average copayment of $26.12 for new patient appointments. Established patients should expect a typical charge of $84.91 and an average copayment of 21.22. Please review your insurance plan or contact the provider directly to determine your specific costs.

No, the provider signed an affidavit on December 15, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 15, 2025.

This NPI record was last updated on September 20, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.