Active NPI
Sergio Wong, D.C.
- Chiropractor
- Houston, TX
National Provider Identifier
1639394729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8879
- Practice address
- 11514 Fallbrook Dr
Houston, TX 77065-4239 - Phone
- (281) 955-9946
- Fax
- (281) 469-0439
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8879 | TX | Primary |
Addresses
Primary practice location
11514 Fallbrook Dr
Houston, TX 77065-4239
Mailing address
17514 N Tempe Cir
Houston, TX 77095-6916
Phone (832) 723-4123
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8879 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1639394729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17514 N TEMPE CIR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770956916",
"telephone_number": "832-723-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11514 FALLBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654239",
"telephone_number": "281-955-9946",
"fax_number": "281-469-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SERGIO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.