NPIMap

Organization Active NPI

Derek Wong DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Downey, CA
National Provider Identifier
1043646326
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
58157 Issued in CA
Legal business name
DEREK WONG DDS, INC
Practice address
10626 Paramount Blvd
Downey, CA 90241-3304
Phone
(562) 861-7234
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Dr. Derek Wong, DDS, MSNPI 1245464999
Title
Orthodontist
Phone
(213) 820-0351

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 58157 CA Primary

Addresses

Primary practice location

10626 Paramount Blvd
Downey, CA 90241-3304

Mailing address

826 N Monterey St
Unit a
Alhambra, CA 91801-6425
Phone (213) 820-0351

Other names 1

  • Wong Orthodontics Other name

National Provider Directory

National Provider Directory

Locations

10626 Paramount Blvd
Downey, CA 90241
Phone (562) 861-7234

Practitioners & affiliated clinicians

Practitioners 3

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": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1043646326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N MONTEREY ST",
            "address_2": "UNIT A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918016425",
            "telephone_number": "213-820-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10626 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413304",
            "telephone_number": "562-861-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK WONG DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "213-820-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "58157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wong Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.