Individual provider Active NPI

Ying Ying Wong, D.C.

  • Chiropractor
  • Munford, TN
National Provider Identifier
1942655600
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2844 Issued in TN
Practice address
76 Tabb Dr Ste C
Munford, TN 38058-8611
Phone
(901) 840-2234
NPI assigned
May 2, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2844 TN Primary

Addresses

Primary practice location

76 Tabb Dr Ste C
Munford, TN 38058-8611

Mailing address

PO Box 668
Atoka, TN 38004-0668
Phone (901) 840-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200111000050 TN Practitioner - Chiropractic 8123310588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8014 Club Ctr Dr
Suite 5
Cordova, TN 38016-8666
Phone (901) 207-2757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2844TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro-R-US Chiropractor CurrentSince Nov 7, 2019 Accepting new patients
Cannon Chiropractic, PLLC Chiropractor Past Accepting new patients

Locations

8014 Club Center Dr
Ste 5
Cordova, TN 38016
Phone (901) 207-2757

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1942655600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380040668",
            "telephone_number": "901-840-2234",
            "fax_number": "901-840-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 TABB DR STE C",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380588611",
            "telephone_number": "901-840-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "YING",
        "middle_name": "YING",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munford, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.