Organization Active NPI

Susan X. Xu-Wong DDS PC

  • General Practice Dentistry
  • Albany, OR
National Provider Identifier
1972739241
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7042 Issued in OR
Legal business name
SUSAN X. XU-WONG DDS PC
Practice address
726 Geary St SE
Albany, OR 97321-4822
Phone
(541) 928-9990
Fax
(541) 928-1101
NPI assigned
Jun 1, 2009
Last updated
Jun 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Susan Wong, DDS
Title
Dentist
Phone
(541) 928-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7042 OR Primary

Addresses

Primary practice location

726 Geary St SE
Albany, OR 97321-4822

Mailing address

726 Geary St SE
Albany, OR 97321-4822
Phone (541) 928-9990

National Provider Directory

National Provider Directory

Locations

726 Geary St SE
Albany, OR 97321
Phone (541) 928-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1972739241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 GEARY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973214822",
            "telephone_number": "541-928-9990",
            "fax_number": "541-928-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 GEARY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973214822",
            "telephone_number": "541-928-9990",
            "fax_number": "541-928-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN X. XU-WONG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-928-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.