Active NPI
Alan Chungyi Wong, D.M.D.
- Dentist
- Corsicana, TX
National Provider Identifier
1417358003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33962
- Practice address
- 3811 W Highway 31 Ste 801
Corsicana, TX 75110-0028 - Phone
- (903) 874-4869
- NPI assigned
- Sep 15, 2014
- Last updated
- Jan 22, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33962 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 33962 | TX |
Addresses
Primary practice location
3811 W Highway 31 Ste 801
Corsicana, TX 75110-0028
Mailing address
PO Box 6088
McKinney, TX 75071-5103
Other practice location 1
17194 Preston Rd Ste 224
Dallas, TX 75248-1225
Phone (972) 233-9399
Other names 1
- Alan Wong
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 |
|---|---|---|---|
| 33962 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Market Dental, PLLC | Current | Accepting new patients |
Locations
909 W Spring Creek Pkwy
Ste 490
Plano, TX 75023
Phone (972) 527-6065
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1417358003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6088",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750715103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 W HIGHWAY 31 STE 801",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751100028",
"telephone_number": "903-874-4869"
}
],
"practiceLocations": [
{
"address_1": "17194 Preston Rd Ste 224",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752481225",
"country_code": "US",
"telephone_number": "972-233-9399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "ALAN",
"middle_name": "CHUNGYI",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-15",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33962",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALAN",
"last_name": "WONG",
"credential": "D.M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.