Jordan Hugh Chock-Wong, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

110241 Issued in CA

Practice address

2060 E Avenida de Los Arboles Ste G
Thousand Oaks, CA 91362-6138

Phone

(805) 493-2879

NPI assigned

Jun 27, 2024

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

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

Specialty

Dentist

Education

Herman Ostrow School of Dentistry of Usc, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.chockwong.p1@direct.cmiorg.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Community Medicine Inc.

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1578136834
  Medicare reassignment NPD
• Community Medicine Inc

  • Federally Qualified Health Center (FQHC)
  • Bellflower, CA
  • NPI 1497397806
  NPD
• Community Medicine Inc

  • Dental Clinic/Center
  • Paramount, CA
  • NPI 1255137618
  NPD (past)

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1184469413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 YUCCA DR",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930129378",
            "telephone_number": "805-807-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E AVENIDA DE LOS ARBOLES STE G",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913626138",
            "telephone_number": "805-493-2879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 Alondra Blvd Ste B4",
            "address_purpose": "LOCATION",
            "city": "Paramount",
            "state": "CA",
            "postal_code": "907235200",
            "country_code": "US",
            "telephone_number": "562-366-9995",
            "fax_number": "562-366-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOCK-WONG",
        "first_name": "JORDAN",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Ann Childress
• Wade Tyler Chimerofsky, DPM
• Steven I Chin, DDS
• Melissa Lee Chisari-Noori
• Eunha Cho, D.D.S.
• Cynthia Jean Chock, DDS
• Kimberly Choedamphai, PHARM. D
• Eunice Choi
• Justin Minhwan Choi, DO
• Nakul Chopra, MD, MPH, MBA

• Dentist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.