Regina S. Wong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036303 Issued in CA

Practice address

636 S Eremland Dr
Covina, CA 91723-3523

Phone

(626) 339-7277

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Regina Wong Phillips Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164577458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 S EREMLAND DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233523",
            "telephone_number": "626-339-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 S EREMLAND DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233523",
            "telephone_number": "626-339-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "REGINA",
        "middle_name": "S.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "036303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "PHILLIPS",
            "middle_name": "WONG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian Russell Wong, D.D.S.
• Ching Ching Wong, RD
• Jennie C Wong, NP
• Lin Lin Wong
• Mark Wong, M.S., D.D.S.
• Winnie Wong
• Maggie Woo
• Prisca C. Woo, L.M.F.T.
• Valerie Louise Woodard, PA-C
• Jaimie Woodward, SLP-CCC

• General Practice Dentistry in Covina, CA
• Providers in Covina, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.