Lawrence Wong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS103354 Issued in CA

Practice address

19845 Lake Chabot Rd Suite 210
Castro Valley, CA 94546

Phone

(510) 581-7788

Fax

(510) 581-6872

NPI assigned

Jun 7, 2019

Sex

Male

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

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.

• Ivleta Spunde DDS Inc

  • Dental Clinic/Center
  • Livermore, CA
  • NPI 1477890838
  NPD (past)
• Terence C. Wong, a Professional Dental Corporation

  • General Practice Dentistry
  • Castro Valley, CA
  • NPI 1578696134
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1043879653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD SUITE 210",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "94546",
            "telephone_number": "510-387-8821",
            "fax_number": "510-581-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD SUITE 210",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "94546",
            "telephone_number": "510-581-7788",
            "fax_number": "510-581-6872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Webster St Ste 907",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093156",
            "country_code": "US",
            "telephone_number": "510-350-8187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Arlington Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "CA",
            "postal_code": "947071400",
            "country_code": "US",
            "telephone_number": "510-525-2881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3183 Independence Dr",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945517595",
            "country_code": "US",
            "telephone_number": "925-292-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "LAWRENCE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zane Wilson, NP
• Wing Chin, M.D.
• Daniel Wittman, D.C.
• David Wohlner
• John Y Wong, O.D.
• Michelle Lai Wong, PA-C
• Terence Chuck Wong, D.D.S.
• Sandi T Woo, PA-C
• William Garin Wood, M.D., M.S.
• Lily Woodruff

• General Practice Dentistry in Castro Valley, CA
• Providers in Castro Valley, 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 9, 2023; 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.