NPIMap

Organization Active NPI

Wong and Valeriano DDS PLLC

  • Dentist
  • Tucson, AZ
National Provider Identifier
1043435670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
AZ4307 Issued in AZ
Legal business name
WONG AND VALERIANO DDS PLLC
Practice address
4411 E 5TH St
Suite B
Tucson, AZ 85711-2015
Phone
(520) 795-7200
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian James Wong, D.D.S.NPI 1407077431
Title
Dentist
Phone
(520) 795-7200

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X AZ4307 AZ Primary

Addresses

Primary practice location

4411 E 5TH St
Suite B
Tucson, AZ 85711-2015

Mailing address

4411 E 5TH St
Suite B
Tucson, AZ 85711-2015
Phone (520) 795-7200

National Provider Directory

National Provider Directory

Locations

4411 E 5th St
Ste B
Tucson, AZ 85711
Phone (520) 795-7200

Practitioners & affiliated clinicians

Practitioners 2

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043435670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 E 5TH ST",
            "address_2": "SUITE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112015",
            "telephone_number": "520-795-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E 5TH ST",
            "address_2": "SUITE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112015",
            "telephone_number": "520-795-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONG AND VALERIANO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "520-795-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ4307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.