James Wong Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42713 Issued in CA

Legal business name

JAMES WONG DENTAL CORP.

Doing business as

Corona Dental Center

Practice address

5714 Atlantic Blvd
Maywood, CA 90270-2920

Phone

(323) 581-4008

NPI assigned

Jan 19, 2007

Last updated

Jun 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James T Wong, DDSNPI 1285848820

Title

Dentist

Phone

(323) 581-4008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Corona Dental Center Doing business as

Tax ID family

Corona Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• James Wong Dental Corp.

  dba Maywood Dental Center

  • General Practice Dentistry
  • Maywood, CA
  • NPI 1073667945
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James T Wong, DDS

  • General Practice Dentistry
  • Maywood, CA
  • NPI 1285848820
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1306999651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702920",
            "telephone_number": "323-581-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702920",
            "telephone_number": "323-581-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES WONG DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-581-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93151-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corona Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heru Wiredja,DDS,Inc
• Anh D. Hoang
• Zhongwen Huang, L. AC.
• Infinity Care of Maywood
• James Wong Dental Corp. (Maywood Dental Center)
• Javier Antonio Jardon, MD
• Javier a Jardon MD Medical Corporation (ophthalmology eye clinic)
• Jose Clemente Navarrete M D Inc
• Jose R. Torres D.D.S., Inc.
• Jose R. Torres DDS Inc

• General Practice Dentistry in Maywood, CA
• Providers in Maywood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.