DR. ALICIA K WONG (NPI# 1003841347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003841347 |
| Entity Type | Individual |
| Full Name | DR. ALICIA K WONG |
| Credential | DMD, MPH |
| Practice Address |
914 140th Ave Ne Suite 101 Bellevue WA 98005-3482 |
| Practice Telephone | 4254011147 |
| Practice Fax Number | 4254846424 |
| Mailing Telephone | 4254011147 |
| Mailing Fax Number | 4254846424 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE00009888 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5047436 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053816421 | Alicia Wong | Chiropractor | 94-1221 Ka Uka Blvd # B205, Waipahu, HI 96797-6202 | 2018-03-28 |
| 1013523828 | Alicia Wong | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-17 |
| 1326525486 | Alicia X Wong | Optometrist | 136 N Cass Ave, Westmont, IL 60559-1604 | 2018-07-22 |
| 1417474768 | Alicia Anne Halim Wong | Pharmacist | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2017-08-28 |
| 1710410808 | Alicia A Wong | Family Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2017-04-06 |
| Street Address |
914 140TH AVE NE SUITE 101 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417300062 | Wallace W. Wong Dds | Dentist | 914 140th Ave Ne, Suite 102, Bellevue, WA 98005-3482 | 2016-07-19 |
| 1689914194 | Alicia K. Wong, Dmd, Mph, Pllc | Dentist | 914 140th Ave Ne, Suite 101, Bellevue, WA 98005-3482 | 2013-02-20 |
| 1467574335 | Wallace Wayne Wong | Dentist | 914 140th Ave Ne, Suite 102, Bellevue, WA 98005-3482 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848463 | Yu Ong | Dentist | 914 140th Ave Ne Ste 101, Bellevue, WA 98005-3482 | 2015-08-03 |
| 1841571254 | Lisa Yu Dds PC | Dentist | 12826 Se 40th Ln Ste 101, Bellevue, WA 98006-5266 | 2011-08-31 |
| 1508012063 | Sue Jeong Choi | Dentist | 5204 Somerset Dr Se, Bellevue, WA 98006-4259 | 2008-08-14 |
| 1922260793 | Sookyung Jun | Dentist | 1500 145th Pl Se, Bellevue, WA 98007-5516 | 2008-07-01 |
| 1568587897 | James Michael Thomas | Dentist | 1200 112th Ave Ne Ste C250, Bellevue, WA 98004-3741 | 2007-03-19 |
| 1427113141 | Todd B Krekow | Dentist | 11102 Ne 38th Pl, Bellevue, WA 98004-7653 | 2006-12-22 |
| 1871662544 | Jimmy S Yun | Dentist | 12600 Se 38th St Ste 110, Bellevue, WA 98006-5232 | 2006-11-07 |
| 1306926449 | Jenny Hee-jae Lee | Dentist | 2150 112 Ave Ne # A, Bellevue, WA 98004-2939 | 2006-10-16 |
| 1497866255 | Lawrence E Mast Dds Ps | Dentist | 2150 112 Ave Ne #a, Bellevue, WA 98004 | 2006-08-31 |
| 1144208505 | Russell F Paravecchio | Dentist | 705 136th Pl Ne, Bellevue, WA 98005-4722 | 2006-01-05 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.