Organization Active NPI

Rosemary Wong PC

  • General Practice Dentistry
  • Yuma, AZ
National Provider Identifier
1174734511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3354 Issued in AZ
Legal business name
ROSEMARY WONG PC
Practice address
2241 S Avenue a Ste 1
Yuma, AZ 85364-8374
Phone
(928) 782-1490
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rosemary C Wong, D.M.D.
Title
President
Phone
(928) 782-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3354 AZ Primary

Addresses

Primary practice location

2241 S Avenue a Ste 1
Yuma, AZ 85364-8374

Mailing address

2241 S Avenue a Ste 1
Yuma, AZ 85364-8374
Phone (928) 782-1490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174734511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 S AVENUE A STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648374",
            "telephone_number": "928-782-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 S AVENUE A STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648374",
            "telephone_number": "928-782-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARY WONG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-782-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.