Kevin Wong, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 24855 Issued in CA

Practice address

89 Moraga Way
Suite a
Orinda, CA 94563-3023

Phone

(925) 254-4040

Fax

(925) 254-4047

NPI assigned

Jul 20, 2006

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Dr Kevin Wong DC Orinda Chiropractic Center PC

  • Chiropractor
  • Orinda, CA
  • NPI 1144956327
  NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1912927112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MORAGA WAY",
            "address_2": "SUITE A",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633023",
            "telephone_number": "925-254-4040",
            "fax_number": "925-254-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MORAGA WAY",
            "address_2": "SUITE A",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633023",
            "telephone_number": "925-254-4040",
            "fax_number": "925-254-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 24855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Robert Wilson, LMFT
• Sarah Elizabeth Wilson, PH.D.
• April Wise, M.F.T.
• Zoe Ashton Witt
• Jason Todd Wong, D.C.
• Pelen Tammy Wu, MD
• Xenophon Therapeutic Riding Center
• An Yang, RDN
• Heather Young, BCBA
• Naomi Takei Yuen, PHARMD

• Chiropractor in Orinda, CA
• Providers in Orinda, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.