Catherine M. Wong, D. D. S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008742A Issued in IN

Practice address

408 E 86TH Ave
Merrillville, IN 46410-6211

Phone

(219) 769-8788

Fax

(219) 769-8978

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IN

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: catherine.wong.p1@direct.geminus.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southlake Community Mental Health Center Inc.

  dba Regional Mental Health Center

  • Clinic/Center
  • Merrillville, IN
  • NPI 1821081290
  Medicare reassignment NPD
• Wong & Smolnicky P C

  • General Practice Dentistry
  • Merrillville, IN
  • NPI 1053390989
  NPD (past) Authorized official
• Southlake Community Mental Health Center Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • East Chicago, IN
  • NPI 1972092047
  NPD (past)
• Wong & Smolnicky P C

  • General Practice Dentistry
  • Valparaiso, IN
  • NPI 1487633327
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629082755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 TULIP LN",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213025",
            "telephone_number": "219-923-8873",
            "fax_number": "219-923-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 86TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106211",
            "telephone_number": "219-769-8788",
            "fax_number": "219-769-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CATHERINE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008742A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Palmquist Wolford, LCSW
• Ashley L Wolke, MA
• Women's Care Associates.P.C.
• Women's Well Health Inc
• Wong & Smolnicky P C
• Joshua William Ancel Wood, DNP, FNP-C
• Judson Booker Wood, M.D.
• Robert T Woodburn III, MD
• Dennis Woods
• Kimberliah Woods, CEO,MT-MSW, CCM,CCHW

• General Practice Dentistry in Merrillville, IN
• Providers in Merrillville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.