Organization Active NPI

Wong & Barretto Dental Inc

  • Dentist
  • Benicia, CA
National Provider Identifier
1639528805
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52827 Issued in CA
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

Updated by the provider on Jun 8, 2016

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.