Active NPI
Julius Ming-Cheng Kong, DDS
- Dentist
- Watsonville, CA
National Provider Identifier
1639391337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51094
- Practice address
- 760 E Lake Ave # 1
Watsonville, CA 95076 - Phone
- (831) 724-4182
- Fax
- (831) 724-3996
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 51094 | CA | Primary |
Addresses
Primary practice location
760 E Lake Ave # 1
Watsonville, CA 95076
Mailing address
760 E Lake Ave # 1
Watsonville, CA 95076-3515
Phone (831) 724-4182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51094 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1639391337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 E LAKE AVE # 1",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950763515",
"telephone_number": "831-724-4182",
"fax_number": "831-724-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 E LAKE AVE # 1",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "95076",
"telephone_number": "831-724-4182",
"fax_number": "831-724-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "JULIUS",
"middle_name": "MING-CHENG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "51094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.