Daniel Wong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

WI5001429 Issued in WI

Practice address

2525 Milton Ave
Janesville, WI 53545-0451

Phone

(608) 754-5340

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669495859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 MILTON AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450451",
            "telephone_number": "608-754-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 MILTON AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450451",
            "telephone_number": "608-754-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "WI5001429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Wistrom, D.O.
• Mary K Wolf, LCSW
• Morgen Wolf, L.AC.
• Theresa Wolfe
• Kenneth M Wolnak, DO
• Chad Lewis Woodman, LPC-IT
• Amber J Wroblewski, LPC-IT
• Kathryn D Wroblewski, NP-C
• Iesha Wynder, RN
• Venkata Niharika Yadavalli, MD

• General Practice Dentistry in Janesville, WI
• Providers in Janesville, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.