Annie Louie Wong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40512 Issued in CA

Practice address

520 La Gonda Way
Suite 202
Danville, CA 94526-1741

Phone

(925) 837-0541

Fax

(925) 837-0542

NPI assigned

Sep 14, 2005

Last updated

Aug 23, 2010By the provider in NPPES

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1518952639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LA GONDA WAY",
            "address_2": "SUITE 202",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261741",
            "telephone_number": "925-837-0541",
            "fax_number": "925-837-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LA GONDA WAY",
            "address_2": "SUITE 202",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261741",
            "telephone_number": "925-837-0541",
            "fax_number": "925-837-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANNIE",
        "middle_name": "LOUIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Pultz Williams, MFTI
• Unique Williams
• Karen E Winter, PSYD
• Kimberley Wiseman
• Anna Nicole Wolfson
• Bradford Wong, PT, MPA
• Joshua Wong, D.D.S
• Juliana C Wong, M.D.
• Lisa Amanda Wong, OD
• Stacie Anne Wong, PT, DPT

• General Practice Dentistry in Danville, CA
• Providers in Danville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.