Steven Kenneth Wong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63956 Issued in CA

Practice address

18822 Palo Verde Ave
Cerritos, CA 90703-9242

Phone

(562) 920-1731

NPI assigned

Aug 26, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri City Dental Care of Cerritos

  • Dentist
  • Cerritos, CA
  • NPI 1487043246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1003216110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5177 WALNUT RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956879483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18822 PALO VERDE AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039242",
            "telephone_number": "562-920-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "STEVEN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brock Wirtz
• Joshua Witt
• Danny Wong, O.D.
• Michael Gahao Wong, DDS
• Nicholas Wong
• Michelle Woo
• Paula Wan Wah Woo, N.P.
• Jennifer Marie Woolf, MSW
• Robert Woolsey, RN
• Natalie Wratschko

• General Practice Dentistry in Cerritos, CA
• Providers in Cerritos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.