Jason Wong, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

25689 Issued in FL

Practice address

3925 W Boynton Beach Blvd Ste 106
Boynton Beach, FL 33436-4500

Phone

(561) 734-2001

Fax

(561) 734-2001

NPI assigned

Apr 21, 2016

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

Enrolled in TN

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

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 and National Provider Directory roles.

• Dowling and Dowling, PA

  • Endodontics
  • Orlando, FL
  • NPI 1982722385

  Periodontics

  NPD (past)
• Palm Beach Periodontics, P.C.

  • Periodontics
  • West Palm Beach, FL
  • NPI 1831236223
  NPD (past)
• Mt. Juliet Dental Group, PC

  dba Mt. Juliet Dental Group

  • Dentist
  • Mount Juliet, TN
  • NPI 1720537491
  NPD (past)

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1548614092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 W BOYNTON BEACH BLVD STE 106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364500",
            "telephone_number": "561-734-2001",
            "fax_number": "561-734-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 W BOYNTON BEACH BLVD STE 106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364500",
            "telephone_number": "561-734-2001",
            "fax_number": "561-734-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Forest Hill Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334066059",
            "country_code": "US",
            "telephone_number": "561-967-0476",
            "fax_number": "561-967-9138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "25689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wolpe-Finkbeiner, M.D. PA
• Rebecca Wolstein, PA-C
• Women's Diagnostic Center of Bethesda Inc (Bethesda Health Comprehensive Imaging Services)
• Women's Diagnostic Center of Bethesda Inc. (Bethesda Health Comprehensive Imaging Services)
• Womens OB GYN Care, LLC
• Wilson Chin Wong, PHARM.D
• Sheila C Wood, LCSW
• Gabrielle Woodard, PSYD
• Ryan A Woodmansee, APRN
• Dominique Woodward

• Periodontics in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.