Individual provider Active NPI

Lindsay Wen Lee Wong

  • Dentist
  • Conroe, TX
National Provider Identifier
1902641053
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42044 Issued in TX
Practice address
215 S Loop 336 W Ste 100
Conroe, TX 77304-3362
Phone
(936) 270-1294
NPI assigned
Jun 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4784 AR
Dentist 122300000X 42044 TX Primary

Addresses

Primary practice location

215 S Loop 336 W Ste 100
Conroe, TX 77304-3362

Mailing address

3806 Browning St
Houston, TX 77005-2040
Phone (281) 900-4521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4784ARMDDentist
42044TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles by Spates, LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

215 S Loop 336 W
Ste 100
Conroe, TX 77304
Phone (936) 270-1294

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1902641053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 BROWNING ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052040",
            "telephone_number": "281-900-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S LOOP 336 W STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043362",
            "telephone_number": "936-270-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LINDSAY",
        "middle_name": "WEN LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4784",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.