Carmen P Li Wong

Primary specialty

DentistTaxonomy code 122300000X

License

019031021 Issued in IL

Practice address

7588 NW 17TH Dr
Pembroke Pines, FL 33024

Phone

(203) 681-0478

NPI assigned

Jul 15, 2009

Sex

Female

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1689804486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7588 NW 17TH DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330241004",
            "telephone_number": "203-681-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7588 NW 17TH DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "203-681-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI WONG",
        "first_name": "CARMEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alsu Leykind, DNP, APRN, FNP-BC
• Errol Leys II, DC
• Yunet Leyva Pineda
• LHF Associates, LLC
• Michele Roselle Li Causi, APRN, FNP-C
• Qun Liang
• Paul Anthony Licata, PA-C
• Gary J Lieberman, MD
• Melanie Liermo
• Life Equity Healthcare LLC

• Dentist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.