WENDY WONG D.D.S.
NPI 1184754087
Dentist - General Practice in San Jose, CA

Active since March 07, 2007Opted out of Medicare · through Feb 17, 2027
2664 BERRYESSA RD STE 116, SAN JOSE, CA 95132(408) 263-6386(408) 957-7538 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wendy Wong D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENDY WONG D.D.S. (NPI 1184754087) is an individual general practice provider in San Jose, California, licensed in California (40517) and active in the NPI registry since March 2007. She has opted out of Medicare through February 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184754087
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameWENDY WONGCredential: D.D.S.
Location Address2664 BERRYESSA RD STE 116San Jose, CA 95132-2906
Mailing Address2664 Berryessa Rd Ste 116San Jose, CA 95132-2906 · (408) 263-6386 · Fax (408) 957-7538
Fax(408) 957-7538
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateApril 24, 2024
NPPES CertifiedApril 24, 2024
NPI 1184754087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 40517
Definition

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.

2664 BERRYESSA RD STE 116, San Jose, CA 95132

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Wendy Wong D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2015 through February 17, 2027.

Opt-Out Effective DateFebruary 17, 2015
Opt-Out In Effect ThroughFebruary 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
2664 BERRYESSA RD STE 116
SAN JOSE, CA 95132
Dentist (General Practice)
2664 BERRYESSA RD STE 116
SAN JOSE, CA 95132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wendy Wong's NPI number?

The NPI number for Wendy Wong is 1184754087. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Wendy Wong located?

Wendy Wong practices at 2664 Berryessa Rd Ste 116, San Jose, CA 95132. The listed phone number is (408) 263-6386.

What is Wendy Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Wendy Wong enrolled in Medicare?

No. Wendy Wong has opted out of Medicare through February 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Wendy Wong was last updated on April 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.