Active NPI
Elizabeth Tong DDS Corp.
- General Practice Dentistry
- Moreno Valley, CA
National Provider Identifier
1194521658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ELIZABETH TONG DDS CORP.
- Practice address
- 14055 Perris Blvd Ste 105
Moreno Valley, CA 92553-4462 - Phone
- (951) 518-9998
- Fax
- (951) 518-9595
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth L Tong, DDS
- Title
- Owner Dentist
- Phone
- (323) 251-0962
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
14055 Perris Blvd Ste 105
Moreno Valley, CA 92553-4462
Mailing address
14055 Perris Blvd Ste 105
Moreno Valley, CA 92553-4462
Phone (951) 518-9998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102887 | Other | CA | DENTAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
14055 Perris Blvd
Ste 105
Moreno Valley, CA 92553
Phone (951) 518-9998
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Los Angeles, CA
- NPI 1508344573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1194521658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14055 PERRIS BLVD STE 105",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925534462",
"telephone_number": "951-518-9998",
"fax_number": "951-518-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14055 PERRIS BLVD STE 105",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925534462",
"telephone_number": "951-518-9998",
"fax_number": "951-518-9595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH TONG DDS CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "TONG",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "323-251-0962",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "102887",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.