DR. KEVIN Y.S. WONG (NPI# 1821129438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821129438 |
| Entity Type | Individual |
| Full Name | DR. KEVIN Y.S. WONG |
| Credential | D.D.S. |
| Practice Address |
431 S Ham Ln Ste D Lodi CA 95242-3524 |
| Practice Telephone | 2093344536 |
| Mailing Telephone | 2093344536 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30859 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508354960 | Kevin Wong | Pharmacist | 9247 Matthews Ave Ne, Seattle, WA 98115-3942 | 2018-05-01 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1457693038 | Kevin Wong | Pain Medicine | 151 S Sunrise Way Ste 100, Palm Springs, CA 92262-0129 | 2013-03-21 |
| 1275881237 | Kevin Wong | Pharmacist | 2089 Pheasant Dr, Hercules, CA 94547-1627 | 2012-08-23 |
| 1912927112 | Kevin Wong | Chiropractor | 89 Moraga Way, Suite A, Orinda, CA 94563-3023 | 2006-07-20 |
| 1750915757 | Kevin Guanwei Wong | Pharmacist | 1150 Harter Pkwy, Yuba City, CA 95993-2642 | 2020-02-27 |
| 1962051110 | Kevin Wing Wong | Pharmacist | 4025 Delridge Way Sw Ste 400, Seattle, WA 98106-1273 | 2019-09-10 |
| 1255980819 | Kevin Wong | Behavior Technician | 44 Gough St Ste 210, San Francisco, CA 94103-5424 | 2019-09-06 |
| 1952958811 | Kevin Wong | Pharmacy | 3055 W Florida Ave, Hemet, CA 92545-3617 | 2019-08-24 |
| 1205331238 | Kevin Wong | Student in an Organized Health Care Education/Training Program | One Gustave L Levy Pl, New York, NY 10029 | 2018-03-30 |
| Street Address |
431 S HAM LN STE D |
| City | LODI |
| State | CA |
| Zip Code | 95242-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194218776 | Jordan Michael Carl | Dentist | 1930 Tienda Dr Ste 203, Lodi, CA 95242-3935 | 2018-06-08 |
| 1316396401 | Mina A Elfar | Dentist | 167 Grove St, Lodi, NJ 07644-3027 | 2016-06-08 |
| 1619318946 | Phung Tran | Dentist | 2061 Henderson Way, Lodi, CA 95242-4814 | 2013-07-15 |
| 1730486002 | Esmeralda Marquez | Dentist | 507 Sandpiper Cir, Lodi, CA 95240-8800 | 2011-02-22 |
| 1194044396 | John Ignatius Meilinger | Dentist | 115 Bank Street, John I. Meiling Dds Inc, Lodi, OH 44254 | 2010-05-27 |
| 1215104690 | Linh Dong-anh Nguyen | Dentist | 1745 W Kettleman Ln Ste C, Lodi, CA 95242-9287 | 2008-05-14 |
| 1154590552 | Anaheata Esmailzada | Dentist | 1 S Main St Ste 6, Lodi, NJ 07644-2235 | 2008-02-29 |
| 1407977291 | Frank Carl Rosich | Dentist | 525 S Fairmont Ave Ste H, Lodi, CA 95240-3860 | 2007-04-02 |
| 1992836829 | Christian A. Bader | Dentist | 630 S Fairmont Ave, Ste D., Lodi, CA 95240-3803 | 2007-03-09 |
| 1407997802 | David Quang Dinh | Dentist | 920 S Cherokee Ln, Suit # G, Lodi, CA 95240-4341 | 2007-02-09 |
| Find all providers in LODI | ||||
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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.