Winnie Wong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30025152 Issued in OH

Practice address

42707 N Ridge Rd
Elyria, OH 44035-1054

Phone

(440) 324-3441

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

No

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

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.

• Leidenheimer Dental Group

  • Specialist
  • Elyria, OH
  • NPI 1639454804
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285080119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42707 N RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351054",
            "telephone_number": "440-324-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42707 N RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351054",
            "telephone_number": "440-324-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_2": "Dental general practice residency",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "412-965-9324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "WINNIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30025152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Wolanski, LPCC-S
• Susan A Wolanyk, LPC
• Joshua Wolf, PT
• Karen Galina Wolfe, LPCC
• Deborah Jean Wolford, RN
• Angel M Wood, CDL
• Doris J Woodwards-Davila, LISW-S
• Christine Marie Workman, RN
• Alexis Anne Wright
• Ebony Ray Wright

• General Practice Dentistry in Elyria, OH
• Providers in Elyria, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.