Rosanna Wai-Wen Wong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018563 Issued in MI

Practice address

1420 84TH St SW
Byron Center, MI 49315-9344

Phone

(616) 878-1514

Fax

(616) 878-4014

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Garvin Family Dental Care, PC

  • Dental Clinic/Center
  • Byron Center, MI
  • NPI 1083223556
  NPD (past)
• Melford C Garvin DDS PC

  • General Practice Dentistry
  • Byron Center, MI
  • NPI 1164432860
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1033214770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159344",
            "telephone_number": "616-878-1514",
            "fax_number": "616-878-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159344",
            "telephone_number": "616-878-1514",
            "fax_number": "616-878-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ROSANNA",
        "middle_name": "WAI-WEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Wiersma, LPC
• Chloe Williams
• Kara Wilmore, DPT
• Sara Jaime Wilson, PA-C
• Wohlford Counseling LLC
• Jenna Wood, NP
• Rachel Wychers
• Nicole H Wyngarden, PHD
• Erin Elizabeth Young
• Katie Elizabeth Zarnosky, P.A.

• General Practice Dentistry in Byron Center, MI
• Providers in Byron Center, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.