Active NPI
William K Wong, D.C.
- Chiropractor
- Riverdale, MD
National Provider Identifier
1932320538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034525
- Practice address
- 6510 Kenilworth Avenue
Suite 1200
Riverdale, MD 20737 - Phone
- (301) 927-2933
- Fax
- (301) 927-9406
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | S01955 | MD | |
| Chiropractor | 111N00000X | CH00034525 | WA | Primary |
Addresses
Primary practice location
6510 Kenilworth Avenue
Suite 1200
Riverdale, MD 20737
Mailing address
21616 76TH Ave
Suite #102
Edmonds, WA 98026
Phone (425) 774-1538
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034525 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Healthcare Clinics | Chiropractor | Past | Accepting new patients |
| Zephyr Chiropractic | Chiropractor | Past | Accepting new patients |
| Maryland Physicians Associates | Past | Accepting new patients | |
| H.S. Pabla, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Laurel, MD
- NPI 1265614820
-
- Chiropractor
- Baltimore, MD
- NPI 1043312036
-
- Neurology Physician
- Baltimore, MD
- NPI 1407970601
-
dba South Lake Union Chiropractic and Massage
- Chiropractor
- Seattle, WA
- NPI 1891969200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1932320538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21616 76TH AVE",
"address_2": "SUITE #102",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-774-1538",
"fax_number": "301-927-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 KENILWORTH AVENUE",
"address_2": "SUITE 1200",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "20737",
"telephone_number": "301-927-2933",
"fax_number": "301-927-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "WILLIAM",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MD",
"license": "S01955",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.