Mark Wong, M.S., D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

42021 Issued in CA

Practice address

320 W Badillo St
Suite 201
Covina, CA 91723-1833

Phone

(626) 966-3131

Fax

(626) 966-7603

NPI assigned

Mar 26, 2013

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Allen King Wong, DDS, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Covina, CA
  • NPI 1750412714
  NPD (past) Authorized official

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1942542162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W BADILLO ST",
            "address_2": "SUITE 201",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231833",
            "telephone_number": "626-966-3131",
            "fax_number": "626-966-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W BADILLO ST",
            "address_2": "SUITE 201",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231833",
            "telephone_number": "626-966-3131",
            "fax_number": "626-966-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.S., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "42021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wong Dental Corporation
• Brian Russell Wong, D.D.S.
• Ching Ching Wong, RD
• Jennie C Wong, NP
• Lin Lin Wong
• Regina S. Wong, DDS
• Winnie Wong
• Maggie Woo
• Prisca C. Woo, L.M.F.T.
• Valerie Louise Woodard, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Covina, CA
• Providers in Covina, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.