Organization Active NPI

Terence C. Wong, a Professional Dental Corporation

  • General Practice Dentistry
  • Castro Valley, CA
National Provider Identifier
1578696134
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33880 Issued in CA
Legal business name
TERENCE C. WONG, A PROFESSIONAL DENTAL CORPORATION
Practice address
19845 Lake Chabot Rd
Suite #210
Castro Valley, CA 94546-4055
Phone
(510) 581-7788
Fax
(510) 581-6872
NPI assigned
Mar 13, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Terence Chuck Wong, DDSNPI 1326176462
Title
President
Phone
(510) 581-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33880 CA Primary

Addresses

Primary practice location

19845 Lake Chabot Rd
Suite #210
Castro Valley, CA 94546-4055

Mailing address

19845 Lake Chabot Rd
Suite #210
Castro Valley, CA 94546-4055
Phone (510) 581-7788

National Provider Directory

National Provider Directory

Locations

19845 Lake Chabot Rd
Ste 210
Castro Valley, CA 94546
Phone (510) 581-7788

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1578696134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD",
            "address_2": "SUITE #210",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464055",
            "telephone_number": "510-581-7788",
            "fax_number": "510-581-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD",
            "address_2": "SUITE #210",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464055",
            "telephone_number": "510-581-7788",
            "fax_number": "510-581-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE C. WONG, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "CHUCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-581-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.