Richard Ken Wong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22415 Issued in CA

Practice address

390 W Napa St
Sonoma, CA 95476-6517

Phone

(707) 938-5322

Fax

(707) 938-5163

NPI assigned

Jan 10, 2007

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184773772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W NAPA ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766517",
            "telephone_number": "707-938-5322",
            "fax_number": "707-938-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W NAPA ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766517",
            "telephone_number": "707-938-5322",
            "fax_number": "707-938-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "RICHARD",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Gorton Wills, MD
• Wirick Chiropractic Care
• Brian Eugene Wirick, DC
• Aaron Matthew Wong, D.D.S.
• Cherise Joy Wong, D.D.S.
• Woodland Star Charter School
• Kuan Hsuan Wu
• Michael Lory Wymore, MD
• Tenzin Yangchen, PHARM D
• Bradd Yoshioka, DDS

• General Practice Dentistry in Sonoma, CA
• Providers in Sonoma, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.