Jennifer S Dong, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

K9769 Issued in TX

Practice address

9303 Pinecroft Dr Ste 270
The Woodlands, TX 77380-3183

Phone

(936) 447-9618

Fax

(281) 783-2628

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1770511487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR STE 270",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803183",
            "telephone_number": "936-447-9618",
            "fax_number": "281-783-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR STE 270",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803183",
            "telephone_number": "936-447-9618",
            "fax_number": "281-783-2628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 Pinecroft Dr",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803222",
            "country_code": "US",
            "telephone_number": "281-569-5482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONG",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "K9769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770190-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00249023",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DKNS, LLC
• CHI Khanh DO, PHARMD
• Michael L Dobyns, D.M.D.
• Shannon Fagan Domangue, PA-C
• Maria Astrid Domenick, OT
• Suzanna Donovan
• Laura Ann Doocy
• Angela Doolittle, LPC
• Angela Gamble Doreck, O.D.
• Anna Lohanna Dos Dos Santos

• General Practice Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.