Organization Active NPI

Jeff Wong, DDS, Inc

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
National Provider Identifier
1962595157
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEFF WONG, DDS, INC
Practice address
22032 El Paseo
Ste. 240
Rancho Santa Margarita, CA 92688-3947
Phone
(949) 766-2786
Fax
(949) 766-7723
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Jeffrey Wong, DDSNPI 1083722326
Title
Owner DDS
Phone
(949) 766-2786

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

22032 El Paseo
Ste. 240
Rancho Santa Margarita, CA 92688-3947

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • RANCHO ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

22032 El Paseo
Ste 240
Rancho Santa Margarita, CA 92688
Phone (949) 766-2786

Practitioners & affiliated clinicians

Practitioners 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1962595157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22032 EL PASEO",
            "address_2": "STE. 240",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883947",
            "telephone_number": "949-766-2786",
            "fax_number": "949-766-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF WONG, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "949-766-2786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANCHO ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.