Active NPI
Wesley K Wong, D.D.S.
- General Practice Dentistry
- Irvine, CA
National Provider Identifier
1497805600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27860
- Practice address
- 501 Student Health
Irvine, CA 92697-5200 - Phone
- (949) 824-9465
- Fax
- (949) 824-3033
- NPI assigned
- Jan 11, 2007
- 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 | 27860 | CA | Primary |
Addresses
Primary practice location
501 Student Health
Irvine, CA 92697-5200
Mailing address
2574 N Meridian St
Orange, CA 92867-2158
Phone (714) 282-9794
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 |
|---|---|---|---|
| 27860 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497805600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2574 N MERIDIAN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928672158",
"telephone_number": "714-282-9794",
"fax_number": "714-282-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 STUDENT HEALTH",
"city": "IRVINE",
"state": "CA",
"postal_code": "926975200",
"telephone_number": "949-824-9465",
"fax_number": "949-824-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "WESLEY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "27860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.