Douglas K. C. Wong, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

34796 Issued in CA

Practice address

7033 Village Pkwy
Suite 202
Dublin, CA 94568-2453

Phone

(925) 828-4041

Fax

(925) 828-7837

NPI assigned

Aug 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Douglas KC Wong DDS Inc

  • General Practice Dentistry
  • Dublin, CA
  • NPI 1093801722
  NPD (past) Authorized official
• Bancroft Dental Care

  • Dentist
  • San Leandro, CA
  • NPI 1659725240
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1194134056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 VILLAGE PKWY",
            "address_2": "SUITE 202",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682453",
            "telephone_number": "925-828-4041",
            "fax_number": "925-828-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 VILLAGE PKWY",
            "address_2": "SUITE 202",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682453",
            "telephone_number": "925-828-4041",
            "fax_number": "925-828-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DOUGLAS",
        "middle_name": "K. C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "34796",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "1483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saron Wolde
• Michelle Wolfe
• Jeff S Wolfish, CRNA
• Alex Le Sing Wong, DDS
• Callista Wong
• Glenn Gee Wong, D.C.
• Pamela Wong, D.D.S.
• Vanessa Wong
• Larissa Wood
• Brittney Woodards

• Dentist in Dublin, CA
• Providers in Dublin, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.