Andre Ming Wong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48866 Issued in CA

Practice address

423 CPL Evans Rd
Pom Dental Clinic CMD
Monterey, CA 93944

Phone

(831) 242-5612

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1083685358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 CPL EVANS RD",
            "address_2": "POM DENTAL CLINIC CMD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CPL EVANS RD",
            "address_2": "POM DENTAL CLINIC CMD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93944",
            "telephone_number": "831-242-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANDRE",
        "middle_name": "MING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Wodecki, O.D.
• Danya Wolff, RN
• Rowan Letcher Wolnick, MFT
• Anne Marie Wolter
• Jennifer Ann Womble
• Kelsey Wong
• Patrick Wong, MD
• Ryan Yee Wong, D.C.
• Yuriko Ino Wong, MS OTRL CHT
• Aaron Wood

• General Practice Dentistry in Monterey, CA
• Providers in Monterey, 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 Jul 7, 2016; 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.