JACQUELINE J WONG (NPI# 1417315490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417315490 |
| Entity Type | Individual |
| Full Name | JACQUELINE J WONG |
| Practice Address |
1202 Martin Luther King Jr Way Tacoma WA 98405-3926 |
| Mailing Address |
8230 Ne 124th Pl Kirkland WA 98034-2572 |
| Practice Telephone | 2534414743 |
| Mailing Telephone | 2532344203 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | RR 60576274 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708791 | Jacqueline H Wong | Counselor | 10 Schalks Crossing Rd Ste 501a-105, Plainsboro, NJ 08536-1612 | 2020-07-27 |
| 1962616235 | Jacqueline Wong | Dentist | 1998 Broadway, Apt 1207, San Francisco, CA 94109-2281 | 2007-05-09 |
| 1114968393 | Jacqueline C Wong | Internal Medicine | 1336 W Valley Blvd, Suite A, Alhambra, CA 91803-2480 | 2006-06-09 |
| 1649804790 | Jacqueline Wong | Occupational Therapist | 710 Nw Juniper St, Issaquah, WA 98027-2717 | 2020-02-27 |
| 1043609712 | Jacqueline Mahn Kwan Wong | Obstetrics & Gynecology | 250 E Superior St, Dept Obstetrics and Gynecology, Chicago, IL 60611-2914 | 2015-01-17 |
| 1083041701 | Jacqueline Michelle Wong | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531 | 2013-09-27 |
| 1184841710 | Jacqueline Y Wong | Family Medicine | 550 16th Ave, #100, Seattle, WA 98122-5699 | 2007-04-18 |
| 1760479323 | Jacqueline W Wong | Ophthalmology | 945 Hildebrand Ln Ne, Suite 235, Bainbridge Island, WA 98110-2877 | 2005-09-29 |
| Street Address |
1202 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619955424 | James G Lenhart | Emergency Medicine | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2006-01-03 |
| 1164039707 | Josephine Eshun | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-09-28 |
| 1164035010 | Andrea Jordan | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-08-28 |
| 1417586777 | Tor Anderson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1023647302 | Ariahnna Lynne Nietzke | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1982233292 | Joshua Monson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1871122317 | Marina Leith | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-06 |
| 1174152169 | Charlee Rhea Abboud | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-02 |
| 1609401272 | Mitsy Chester | Dental Hygienist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-03-04 |
| 1700425543 | Renjitha James | Pharmacist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2019-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205904 | Bianca Elisa Gardner | Dentist | Building 9900 Lincoln Street, Tacoma, WA 98431-0001 | 2020-08-12 |
| 1568003002 | Dylan Morgan | Dentist | Bldg 9900 Lincoln St, Tacoma, WA 98431-0001 | 2019-10-07 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
| 1205327020 | Charles Lamar Lewis | Dentist | 9900 Lincoln St 2nd Floor, Tacoma, WA 98431-1100 | 2018-05-29 |
| 1265950737 | Scott Jeffrey Sullivan | Dentist | 3516 S 47th St Ste 104, Tacoma, WA 98409-4427 | 2017-09-06 |
| 1235687500 | Erika K. Ridgeway | Dentist | 1148 72nd St E Unit B, Tacoma, WA 98404-1806 | 2016-09-15 |
| 1003363631 | Giovanna Dainty | Dentist | 9900 Lincoln Street Us Army Dental Health Activity Jblm, Tacoma, WA 98431-0001 | 2016-09-01 |
| 1023563558 | Tiffany Lamberton | Dentist | 2522 N Proctor St # 29, Tacoma, WA 98406-5338 | 2016-08-25 |
| 1316491731 | Bradford Spika | Dentist | 3623 55th St Ne, Tacoma, WA 98422-4570 | 2016-08-15 |
| Find all providers in TACOMA | ||||
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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.