Joel Wan Toon Wong, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

108379 Issued in CA

Practice address

13422 Pomerado Rd Ste 201
Poway, CA 92064-3548

Phone

(858) 679-6660

NPI assigned

Sep 28, 2018

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

Practice roles

Locations

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.

• Joel Wong DMD Inc

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1447047527
  NPD Authorized official
• Ellen Im DDS Inc

  • Pediatric Dentistry
  • Poway, CA
  • NPI 1861091720
  NPD

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1962987602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E TROPICANA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 POMERADO RD STE 201",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643548",
            "telephone_number": "858-679-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JOEL",
        "middle_name": "WAN TOON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "108379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi K. Wojcik, AU. D.
• Wolf Podiatry Corp
• Jeffrey Wolmer, H.I.S.
• Andrew Wong
• Chun Hin Trevor Wong
• Nicollete Wong
• Linda M Woodruff
• Kimberly Diane Woolstencroft
• Wright and Associates
• Kouriahna Wright

• Pediatric Dentistry in Poway, CA
• Providers in Poway, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.