Active NPI
Chad Wong, D.D.S.
- General Practice Dentistry
- Clackamas, OR
National Provider Identifier
1407847254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-7086
- Practice address
- 12845 SE 93Rd Ave
Clackamas, OR 97015-5735 - Phone
- (503) 794-1900
- Fax
- (503) 794-2778
- NPI assigned
- Nov 1, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-7086 | OR | Primary |
Addresses
Primary practice location
12845 SE 93Rd Ave
Clackamas, OR 97015-5735
Mailing address
12845 SE 93Rd Ave
Clackamas, OR 97015-5735
Phone (503) 794-1900
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 |
|---|---|---|---|
| D-7086 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407847254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12845 SE 93RD AVE",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155735",
"telephone_number": "503-794-1900",
"fax_number": "503-794-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12845 SE 93RD AVE",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155735",
"telephone_number": "503-794-1900",
"fax_number": "503-794-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "CHAD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D-7086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.