Wendy Wong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40517 Issued in CA

Practice address

2664 Berryessa Rd Ste 116
San Jose, CA 95132-2906

Phone

(408) 263-6386

Fax

(408) 957-7538

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Feb 17, 2015 through Feb 17, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wendy Wong, D.D.S.,Inc.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1407901184
  NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1184754087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 BERRYESSA RD STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322906",
            "telephone_number": "408-263-6386",
            "fax_number": "408-957-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 BERRYESSA RD STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322906",
            "telephone_number": "408-263-6386",
            "fax_number": "408-957-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "WENDY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley E Wong, D.D.S.
• Tracey Wong
• Vincent Wong, P.T.
• Wai Ling Wong
• Waiyip Wong, PHARM.D.
• Yanyin Cen Wong, RD
• Yuetin Tina Wong, M.D.
• Samantha Nicole Woo-Ramos
• Garrett Thomas Woo
• Jerry Woo, LAC

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Apr 24, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.