Individual provider Active NPI

Christopher Wong, DDS

  • Dentist
  • Palo Alto, CA
National Provider Identifier
1063980597
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
102726 Issued in CA
Practice address
409 Cambridge Ave
Palo Alto, CA 94306-1614
Phone
(650) 326-6319
Fax
(650) 326-1572
NPI assigned
Nov 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 102726 CA Primary

Addresses

Primary practice location

409 Cambridge Ave
Palo Alto, CA 94306-1614

Mailing address

409 Cambridge Ave
Palo Alto, CA 94306-1614
Phone (650) 326-6319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102726CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher B. Wong, DDS, Dental Corp CurrentSince Dec 14, 2025 Accepting new patients
Mindi Thai, DDS & Kimdung Tracy Tran, DDS, a Dental Corporation Past Accepting new patients

Locations

409 Cambridge Ave
Palo Alto, CA 94306
Phone (650) 326-6319

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1063980597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CAMBRIDGE AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061614",
            "telephone_number": "650-326-6319",
            "fax_number": "650-326-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CAMBRIDGE AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061614",
            "telephone_number": "650-326-6319",
            "fax_number": "650-326-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.