Nancy Carolina Wong, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

33307 Issued in TX

Practice address

455 School St Ste 42
Tomball, TX 77375-4595

Phone

(281) 516-2700

NPI assigned

Aug 8, 2017

Last updated

Jun 17, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kiddo Denal PA

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1841580826
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1821513185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DETERING ST APT 4104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770071789",
            "telephone_number": "210-782-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 42",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "281-516-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 County Road 94 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775845135",
            "country_code": "US",
            "telephone_number": "713-436-4086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8210 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293923",
            "country_code": "US",
            "telephone_number": "210-450-3504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3520 S New Braunfels Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782231406",
            "country_code": "US",
            "telephone_number": "210-532-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "NANCY",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winnie-Stowell Hospital District (Park Manor of Tomball)
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• Victoria Wommack
• Fei Wong, R.D.,L.D.
• Liliana Woo, MD
• Woodlands Surgical Assistants
• Allyse Darlene Woods, PHARM D
• Woodvine PLLC
• Brent Alden Woolverton Jr., O.D.

• Pediatric Dentistry in Tomball, TX
• Providers in Tomball, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.