Organization Active NPI

R Gong DDS Inc

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1780197566
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
R GONG DDS INC
Practice address
9330 Carmel Mountain Rd Ste A1
San Diego, CA 92129-2190
Phone
(858) 201-3577
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Rong Gong, DDSNPI 1558576447
Title
Dentist
Phone
(858) 201-3577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9330 Carmel Mountain Rd Ste A1
San Diego, CA 92129-2190

Mailing address

9330 Carmel Mountain Rd Ste A1
San Diego, CA 92129-2190
Phone (858) 201-3577

National Provider Directory

National Provider Directory

Locations

9330 Carmel Mountain Rd
Ste A1
San Diego, CA 92129
Phone (858) 201-3577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1780197566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 CARMEL MOUNTAIN RD STE A1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292190",
            "telephone_number": "858-201-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 CARMEL MOUNTAIN RD STE A1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292190",
            "telephone_number": "858-201-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R GONG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "RONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-201-3577",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.