Active NPI
Wong & Barretto Dental Inc
- Dentist
- Benicia, CA
National Provider Identifier
1639528805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52827
- Legal business name
- WONG & BARRETTO DENTAL INC
- Practice address
- 125 E N St
Benicia, CA 94510-2728 - Phone
- (707) 745-0636
- NPI assigned
- Jun 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle B Wong, D.D.S.
- Title
- Secretary
- Phone
- (925) 639-3206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 52827 | CA | Primary |
Addresses
Primary practice location
125 E N St
Benicia, CA 94510-2728
Mailing address
125 E N St
Benicia, CA 94510-2728
Phone (707) 745-0636
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465344000000",
"number": "1639528805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E N ST",
"city": "BENICIA",
"state": "CA",
"postal_code": "945102728",
"telephone_number": "707-745-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E N ST",
"city": "BENICIA",
"state": "CA",
"postal_code": "945102728",
"telephone_number": "707-745-0636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WONG & BARRETTO DENTAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "925-639-3206",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "52827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.