Walter Rong DDS, a Professional Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

50094 Issued in CA

Legal business name

WALTER RONG DDS, A PROFESSIONAL CORPORATION

Practice address

236 W Badillo St
Covina, CA 91723-1906

Phone

(626) 339-7012

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Walter Rong, DDSNPI 1982943007

Title

Dentist

Phone

(626) 339-7012

Specialties & licenses 2

Addresses

Other names 1

• Walter Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Rong, DDS

  • Dentist
  • Covina, CA
  • NPI 1982943007
  NPD Authorized official

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1578802450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231906",
            "telephone_number": "626-339-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231906",
            "telephone_number": "626-339-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER RONG DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "RONG",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-339-7012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "50094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walter Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shakisha Bradley Walker, M.S., BCBA
• Jasmine Nicole Wallace
• Alexandra Marie Wallen
• Ashley Walls
• Walmart Inc.
• Darrell Dennis Walter, MD
• Araceli M Walters
• Beatrice Melissa Walters
• Angela Cynthia Wang
• David Yihon Wang, MD

• Preferred Provider Organization in Covina, CA
• Providers in Covina, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.