Johnson Ann Wong Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JOHNSON ANN WONG DENTAL CORPORATION

Practice address

6512 N Figueroa St Ste 3
Los Angeles, CA 90042-2155

Phone

(323) 521-9833

NPI assigned

Oct 26, 2020

Organization subpart

No

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

Authorized official

Name

Kin Cho Wong, DDSNPI 1477902112

Title

President

Phone

(626) 679-0103

Specialties & licenses 1

Addresses

Other names 1

• Overjoyed Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• Kin Cho Wong, DDS

  • Pediatric Dentistry
  • Placentia, CA
  • NPI 1477902112
  NPD Authorized official

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1790385227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N ELECTRIC AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011929",
            "telephone_number": "626-679-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 N FIGUEROA ST STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422155",
            "telephone_number": "323-521-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON ANN WONG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KIN CHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-679-0103",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overjoyed Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keary Winston Johns Jr., MSW, ACSW
• Lystacey L Johns
• Michael Johns III, M.D.
• Rosalina Johns, CAADAC
• Tristian Johns
• Margaret Johnson Brown
• Joselyn Johnson Castaneda
• Rashaad Shahib Johnson Charon, CMT
• Loraine Oweela Johnson Davis
• Deborah Jean Johnson Hayes, LCSW

• Pediatric Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.