Organization Active NPI

Cosmetic and Family Dentistry Lana Wong DDS PC

  • Dentist
  • Chandler, AZ
National Provider Identifier
1346635794
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5449 Issued in AZ
Legal business name
COSMETIC AND FAMILY DENTISTRY LANA WONG DDS PC
Practice address
205 S Dobson Rd
#3
Chandler, AZ 85224-6183
Phone
(480) 755-3310
NPI assigned
Apr 2, 2015
Last updated
Apr 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Dr. Lana Lee Wong, DDSNPI 1538124268
Title
President
Phone
(480) 755-3310

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D5449 AZ Primary

Addresses

Primary practice location

205 S Dobson Rd
#3
Chandler, AZ 85224-6183

Mailing address

205 S Dobson Rd
#3
Chandler, AZ 85224-6183
Phone (480) 755-3310

National Provider Directory

National Provider Directory

Locations

205 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 755-3310

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1346635794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S DOBSON RD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246183",
            "telephone_number": "480-755-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S DOBSON RD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246183",
            "telephone_number": "480-755-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND FAMILY DENTISTRY LANA WONG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-755-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.