Active NPI
Shing Yiu Wong
- Dentist
- Lackland Afb, TX
National Provider Identifier
1275234882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS108991
- Practice address
- Dunn Dental Clinic
BLDG 6418
Lackland Afb, TX 78236 - Phone
- (213) 220-8946
- NPI assigned
- Mar 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS108991 | CA | Primary |
Addresses
Primary practice location
Dunn Dental Clinic
BLDG 6418
Lackland Afb, TX 78236
Mailing address
Dunn Dental Clinic
BLDG 6418
Jbsa-Lackland, TX 78236
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 |
|---|---|---|---|
| DDS108991 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1275234882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DUNN DENTAL CLINIC",
"address_2": "BLDG 6418",
"city": "JBSA-LACKLAND",
"state": "TX",
"postal_code": "78236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DUNN DENTAL CLINIC",
"address_2": "BLDG 6418",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "78236",
"telephone_number": "213-220-8946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SHING",
"middle_name": "YIU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-13",
"last_updated": "2024-08-28",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS108991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lackland Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.