Yu Chen Wilson Kong

Primary specialty

DentistTaxonomy code 122300000X

License

DDS108393 Issued in CA

Practice address

637 N Euclid St
Anaheim, CA 92801-4621

Phone

(714) 772-2893

NPI assigned

May 4, 2021

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Chuck Truc Le DDS Inc

  • Dentist
  • Anaheim, CA
  • NPI 1225132483
  NPD (past)
• Chuck Truc Trong Le Dental Corp

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1285740589
  NPD (past)

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1861075202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 S SERRANO AVE UNIT 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062409",
            "telephone_number": "425-974-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014621",
            "telephone_number": "714-772-2893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928016503",
            "country_code": "US",
            "telephone_number": "714-491-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONG",
        "first_name": "YU CHEN",
        "middle_name": "WILSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS108393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Koliba, LMFT
• Keith Y Komaki, D.D.S.
• Janet Lea Konecne, PT, DPT, OCS, CSCS
• Joanna Kong, OD
• Sharmie Joy Villanueva Kong
• Minami Konishi, NP
• Allison Kate Kono, NP-C
• Michiyuki Kono, MD
• Mina Kono, MD
• Audrey M Konow, M.D.

• Dentist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.