Individual provider Active NPI

Taylor Chock-Wong

  • Dental Anesthesiology
  • Corona, CA
National Provider Identifier
1871223545
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
111821 Issued in CA
Practice address
160 W Foothill Pkwy Ste 105-244
Corona, CA 92882-8545
Phone
(650) 282-4171
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 111821 CA Primary

Addresses

Primary practice location

160 W Foothill Pkwy Ste 105-244
Corona, CA 92882-8545

Mailing address

160 W Foothill Pkwy Ste 105-244
Corona, CA 92882-8545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714002762 PA Order and Referring Only - DentistPractitioner - Dentist 6800277302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1871223545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W FOOTHILL PKWY STE 105-244",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W FOOTHILL PKWY STE 105-244",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828545",
            "telephone_number": "650-282-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOCK-WONG",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "111821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.