JASON WONG (NPI# 1942645528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942645528 |
| Entity Type | Individual |
| Full Name | JASON WONG |
| Credential | DDS |
| Practice Address |
695 E Cottonwood Ln Casa Grande AZ 85122-2023 |
| Practice Telephone | (520) 876-5200 |
| Mailing Telephone | (520) 876-5200 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2018-03-17 |
| NPI Deactivation Date | 03/27/2014 |
| NPI Reactivation Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 057530 | NY | Dental Providers |
| N | 122300000X | Dentist | 9559 | AZ | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
9559 | AZ | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 695 E. Cottonwood Lane, Casa Corando, AZ 85122 | 5208765200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245705805 | Jason Frank Wong | Orthotist | 8143 Gandy Dancer Way, Sacramento, CA 95823-5928 | 2018-10-10 |
| 1871031815 | Jason Wong | Pharmacist | 82-69 Parsons Blvd, Jamaica, NY 11373 | 2017-02-10 |
| 1831404532 | Jason Wong | Pharmacist | 9450 Las Tunas Dr, Temple City, CA 91780-2138 | 2010-08-18 |
| 1952541229 | Jason Wong | Physical Therapist | 1540 2nd St Ste A, Santa Monica, CA 90401-2303 | 2009-02-26 |
| 1750590014 | Jason Gilbert Wong | Dentist | 721 W Whittier Blvd Ste B, La Habra, CA 90631-3771 | 2007-05-22 |
| 1114149002 | Jason M Wong | Family Medicine | 114 5th Avenue, Redwood City, CA 94063 | 2007-05-02 |
| 1821052242 | Jason H Wong | Specialist | 3711 Pacific Ave, Ste. 200, Tacoma, WA 98418-7800 | 2006-04-13 |
| 1376170449 | Jason Patrick Wong | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-03-26 |
| 1194363598 | Jason Soongjee Wong | Student in an Organized Health Care Education/Training Program | Ucsb Counseling and Psychological Services Building 599, Santa Barbara, CA 93106-0001 | 2019-12-16 |
| 1326607813 | Jason C Wong | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048-1804 | 2019-06-10 |
| Street Address |
695 E COTTONWOOD LN |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558995951 | Pediatric Dentistry of Casa Grande | Clinic/Center | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2020-02-25 |
| 1376108035 | Tcp Anesthesia Services Pllc | Dentist | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376108035 | Tcp Anesthesia Services Pllc | Dentist | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699252544 | Green States Anesthesia Pllc | Dentist | 3343 E Indigo Bay Ct, Gilbert, AZ 85234-1737 | 2018-07-24 |
| 1760847628 | Sleepcare Dental LLC | Dentist | 625 W Deer Valley Rd Ste 103622, Phoenix, AZ 85027-2138 | 2015-12-20 |
| 1326420415 | Trent Nielsen | Dentist | 12417 W Encanto Blvd, Avondale, AZ 85392-6515 | 2015-06-24 |
| 1144660358 | Thanh Hoang Phan | Dentist | 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 | 2013-07-02 |
| 1184799538 | Reuben Nelson Turner | Dentist | 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 | 2006-11-21 |
| 1811066541 | Mari Cynthia Fukami | Dentist | 625 W Southern Ave, Ste E-145, Mesa, AZ 85210-5030 | 2006-11-07 |
| 1881185791 | Comfort Care Anesthesia, LLC | Dentist | 13601 N Canterbury Dr, Phoenix, AZ 85023-6290 | 2018-05-25 |
| 1689025256 | Arizona Dental Anesthesia Pllc | Dentist | 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 | 2016-06-24 |
| 1700241809 | Arizona Anesthesia for Dentistry, LLC | Dentist | 6600 N Oracle Rd, Ste 110, Tucson, AZ 85704-5676 | 2015-12-16 |
| 1447641139 | Minsoek Kang Dentistry, Pllc | Dentist | 15033 W Bell Rd, Ste 175, Surprise, AZ 85374-3217 | 2015-02-17 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
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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.