Organization Active NPI

Brian Wong DDS PA

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1003465212
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIAN WONG DDS PA
Practice address
9300 Wade Blvd Ste 210
Frisco, TX 75035-2175
Phone
(972) 668-5608
Fax
(972) 435-7757
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Brian Wong, DDSNPI 1447314976
Title
Owner
Phone
(972) 668-5608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9300 Wade Blvd Ste 210
Frisco, TX 75035-2175

Mailing address

9300 Wade Blvd Ste 210
Frisco, TX 75035-2175
Phone (972) 668-5608

Other names 1

  • Brian Wong DDS Doing business as

National Provider Directory

National Provider Directory

Locations

9300 Wade Blvd
Ste 210
Frisco, TX 75035
Phone (469) 598-1998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1003465212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 WADE BLVD STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352175",
            "telephone_number": "972-668-5608",
            "fax_number": "972-435-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 WADE BLVD STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352175",
            "telephone_number": "972-668-5608",
            "fax_number": "972-435-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN WONG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-668-5608",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian Wong DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.