Andrew C Wong, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

37038 Issued in CA

Practice address

3900 Newpark Mall Road
Suite 204
Newark, CA 94560-5241

Phone

(510) 796-1793

NPI assigned

Sep 2, 2009

Last updated

Sep 2, 2009By the provider in NPPES

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Manu Sharma DMD Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newark, CA
  • NPI 1881566750
  NPD (past)
• Parklee DDS Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fullerton, CA
  • NPI 1558175158
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1508099938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NEWPARK MALL ROAD",
            "address_2": "SUITE 204",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605241",
            "telephone_number": "510-796-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NEWPARK MALL ROAD",
            "address_2": "SUITE 204",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605241",
            "telephone_number": "510-796-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANDREW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "37038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Williams
• Elizabeth Kathleen Wilson
• Michelle Gay Winslett James
• Debra Denise Witter, MD
• Britt Star Wolven
• Thomas Wong, DDS
• Tatyana Woodards
• Monique Wright-Gory
• Selena Wright
• Alex Wyse

• Orthodontics and Dentofacial Orthopedics Dentistry in Newark, CA
• Providers in Newark, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.