Organization Active NPI

Maa & Wong Dental Corporation

  • General Practice Dentistry
  • Sunnyvale, CA
National Provider Identifier
1932226081
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32582 Issued in CA
Legal business name
MAA & WONG DENTAL CORPORATION
Practice address
333 W Maude Ave Ste 101
Sunnyvale, CA 94085-4367
Phone
(408) 736-0888
Fax
(408) 736-7973
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Jerry K Maa, DDSNPI 1164827382
Title
President
Phone
(408) 736-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 32582 CA Primary

Addresses

Primary practice location

333 W Maude Ave Ste 101
Sunnyvale, CA 94085-4367

Mailing address

333 W Maude Ave Ste 101
Sunnyvale, CA 94085-4367
Phone (408) 736-0888

National Provider Directory

National Provider Directory

Locations

333 W Maude Ave
Ste 101
Sunnyvale, CA 94085
Phone (408) 736-0888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1932226081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W MAUDE AVE STE 101",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854367",
            "telephone_number": "408-736-0888",
            "fax_number": "408-736-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W MAUDE AVE STE 101",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854367",
            "telephone_number": "408-736-0888",
            "fax_number": "408-736-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAA & WONG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MAA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-736-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.