Joel Wong DMD Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JOEL WONG DMD INC

Practice address

4809 Clairemont Dr Ste 65B
San Diego, CA 92117-2790

Phone

(858) 463-5550

NPI assigned

Apr 22, 2025

Last updated

Apr 22, 2025By 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. Joel Wong, DMDNPI 1962987602

Title

Owner Dentist

Phone

(858) 463-5550

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Joel Wan Toon Wong, DMD

  • Pediatric Dentistry
  • Poway, CA
  • NPI 1962987602
  NPD Authorized official

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1447047527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 CLAIREMONT DR STE 65B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172790",
            "telephone_number": "858-463-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 CLAIREMONT DR STE 65B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172790",
            "telephone_number": "858-463-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL WONG DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "858-463-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "108379",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel E. Mata, M.D. Inc. (Functional Restoration San Diego)
• Joel J. Smith, M.D. Inc.
• Joel Lazar, PHD PC
• Joel M. Snyder MD, a Medical Corporation (San Diego Pediatrics)
• Joel M. Snyder MD, a Medical Corporation (San Diego Pediatric Primary Care Medical Group, Inc.)
• Alyssa Joel-Edwards
• Shonali Jog-Khoche, MHS, PT
• Lovinder K Johal
• Eric Johannes
• Kaitlin Johannsen

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

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

Verify at the official NPI Registry.