Active NPI
Harvey J. Wong, D.C., L.AC.
- Chiropractor
- Redlands, CA
National Provider Identifier
1225329477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31896
- Practice address
- 17 S 5TH St
Suite #1
Redlands, CA 92373-4737 - Phone
- (909) 747-9608
- NPI assigned
- Apr 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC31896 | CA | Primary |
| Acupuncturist | 171100000X | AC14246 | CA |
Addresses
Primary practice location
17 S 5TH St
Suite #1
Redlands, CA 92373-4737
Mailing address
17 S 5TH St
Suite #1
Redlands, CA 92373-4737
Phone (909) 747-9608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31896 | CA | MD | Chiropractor |
| AC14246 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1225329477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 S 5TH ST",
"address_2": "SUITE #1",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734737",
"telephone_number": "909-747-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 S 5TH ST",
"address_2": "SUITE #1",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734737",
"telephone_number": "909-747-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "HARVEY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C., L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-22",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31896",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC14246",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.