Harrison Wong, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

105081 Issued in CA

Practice address

6711 Greenleaf Ave
Whittier, CA 90601-4110

Phone

(562) 698-0054

NPI assigned

Aug 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wood and Habashy Dental Partnership

  • Endodontics
  • Whittier, CA
  • NPI 1720779390
  NPD
• Marcela I. Perez, D.D.S., Inc.

  • General Practice Dentistry
  • Whittier, CA
  • NPI 1205090677
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1053966705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 WILSHIRE BLVD APT 1412",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014110",
            "telephone_number": "562-698-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Witzgall
• Alodie G Wong, FNP-C
• Betty Yu Wong, DO
• Christina W Wong, MD, MPH
• Elke Wong, PHARMD
• Jessica Wong, MD
• Josephine Wong
• Kirsti Wong
• Penny Wong, L. AC
• Michael Woo, BA

• Dentist in Whittier, CA
• Providers in Whittier, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.