Active NPI
Anthony Wong,D.D.S.
- Dental Clinic/Center
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 37039
- Legal business name
- ANTHONY WONG,D.D.S.
- Practice address
- 3356 W Ball Rd
Ste.215
Anaheim, CA 92804-3702 - Phone
- (714) 995-3051
- NPI assigned
- Sep 4, 2007
- Last updated
- Sep 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Wong, D.D.S.
- Title
- Dentist
- Phone
- (714) 995-3051
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 37039 | CA | Primary |
Addresses
Primary practice location
3356 W Ball Rd
Ste.215
Anaheim, CA 92804-3702
Mailing address
3356 W Ball Rd
Ste.215
Anaheim, CA 92804-3702
Phone (714) 995-3051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G90548-01 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Anthony Wongdds
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Placentia, CA
- NPI 1376737304
Locations
3356 W Ball Rd
Ste 215
Anaheim, CA 92804
Phone (714) 995-3040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1225110117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188864000000",
"number": "1811181845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3356 W BALL RD",
"address_2": "STE.215",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043702",
"telephone_number": "714-995-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 W BALL RD",
"address_2": "STE.215",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043702",
"telephone_number": "714-995-3051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY WONG,D.D.S.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "714-995-3051",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "37039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G90548-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.