Michael David Wonnacott, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50403 Issued in CA

Practice address

2131 Capitol Avenue
Suite 300
Sacramento, CA 95816

Phone

(916) 446-6625

Fax

(916) 446-6636

NPI assigned

Oct 28, 2008

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael D Wonnacott DDS PC

  dba Gleneagle Dental

  • Public Health Dentistry
  • Colorado Springs, CO
  • NPI 1992686513
  NPD Authorized official
• Capitol Oral-Systemic Health Inc

  • Dentist
  • Sacramento, CA
  • NPI 1710351192
  NPD (past)
• Charles F Carpenter MD Apmc

  • Public Health & General Preventive Medicine Physician
  • Sacramento, CA
  • NPI 1639441637
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1679726335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 CAPITOL AVE STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165755",
            "telephone_number": "916-446-6625",
            "fax_number": "916-446-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 CAPITOL AVENUE",
            "address_2": "SUITE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-446-6625",
            "fax_number": "916-446-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONNACOTT",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Wong, RN
• Tracy Elissa Lew Wong, LCSW
• Vionna Wong, PHARMD
• Winnie Wong, PHARMD
• Winnie W Wong, PHARM.D.
• Leticia Olay Woo-Ming, RN, PHN
• Amy Mae Woo, D.D.S.
• Denny Woo
• Hon Woo, M.D.
• Kaede Fischer Woo, DC

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.