David Tak-Yan Wong, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

032206 Issued in CA

Practice address

7420 Greenhaven Dr
Suite 105
Sacramento, CA 95831-5161

Phone

(916) 427-7206

Fax

(916) 394-8919

NPI assigned

Mar 12, 2008

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 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": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1558531087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 GREENHAVEN DR",
            "address_2": "SUITE 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315161",
            "telephone_number": "916-427-7206",
            "fax_number": "916-394-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 GREENHAVEN DR",
            "address_2": "SUITE 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315161",
            "telephone_number": "916-427-7206",
            "fax_number": "916-394-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DAVID",
        "middle_name": "TAK-YAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "032206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ching Yee Wong, MD
• Chung Ki Wong, D.O.
• Clifford Chan Wong, PHARM BS
• Colleen Tweed Wong, LMFT
• Daniel Wong, ENDOCRINOLOGY
• David Yick Leung Wong, ATC
• Dennis David Wong, DDS
• Derek J Wong, M.D.
• Elizabeth Xiu-Juan Wong, RDHAP
• Eric Wong, D.D.S.

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.