Ken Wong, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

51155 Issued in CA

Practice address

1930 S Giddings St
Visalia, CA 93277-4551

Phone

(559) 734-8171

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1497751564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S GIDDINGS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774551",
            "telephone_number": "559-734-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S GIDDINGS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774551",
            "telephone_number": "559-734-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Nicole Witherspoon
• Harry Charles Wolf IV, M.D.
• Stephen Wolfe, D.O.
• Christine Leal Wondergem, O.T.R.
• Charles Wong
• Sterling Wong
• Steven L Wong, D. C.
• Christopher J. Wood, D.D.S.
• David Duane Wood, PH.D.
• Terry R Wood, DDS

• Dentist in Visalia, CA
• Providers in Visalia, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.