Jonathan S Wong, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

51675 Issued in CA

Practice address

1190 S Victoria Ave
Suite 305
Ventura, CA 93003-6507

Phone

(805) 644-9664

NPI assigned

Apr 10, 2007

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

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1508089335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PIRIE RD # B",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233135",
            "telephone_number": "805-640-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S VICTORIA AVE",
            "address_2": "SUITE 305",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036507",
            "telephone_number": "805-644-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "51675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio L. Wong, M.D.
• Bryan Chung-Yun Wong, M.D.
• Jared Wong, PA
• Jeffrey Alan Wong, MD
• Jill Huang Wong, PHD
• Nicole Wong, MSW
• Matthew Woo, MD
• Diane J Wood, C.N.M.
• Frank C Wood, PHARMD
• Lavon Renee Wood

• Periodontics in Ventura, CA
• Providers in Ventura, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.