Active NPI
Nancy Wong, DMD, MPH
- Dentist
- Torrington, CT
National Provider Identifier
1851779375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11800
- Practice address
- 469 Migeon Ave
Torrington, CT 06790-4643 - Phone
- (860) 489-0931
- NPI assigned
- May 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11800 | CT | Primary |
Addresses
Primary practice location
469 Migeon Ave
Torrington, CT 06790-4643
Mailing address
469 Migeon Ave
Torrington, CT 06790-4643
Phone (860) 489-0931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160516001058 | CT | Order and Referring Only - Dentist | 2961791918 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11800 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1851779375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 MIGEON AVE",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067904643",
"telephone_number": "860-489-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 MIGEON AVE",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067904643",
"telephone_number": "860-489-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "DMD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-16",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "11800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.