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DR. GORDON WONG D.D.S.
NPI 1336243732
Dentist - General Practice in Oakland, CA

Active since September 07, 2006PECOS Enrolled
401 E 21ST ST, OAKLAND, CA 94606(510) 451-1974(510) 451-1974 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gordon Wong D.d.s. NPPES

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

DR. GORDON WONG D.D.S. (NPI 1336243732) is an individual general practice provider in Oakland, California, licensed in California (24417) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336243732
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GORDON WONGCredential: D.D.S.
Location Address401 E 21ST STOakland, CA 94606-1914
Mailing Address401 E 21st StOakland, CA 94606-1914 · (510) 451-1974 · Fax (510) 451-1974
Phone(510) 451-1974
Fax(510) 451-1974
Sole ProprietorYes
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336243732 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 · 24417
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.
401 E 21ST ST, Oakland, CA 94606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gordon Wong D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94606 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Gordon Wong's NPI number?

The NPI number for Gordon Wong is 1336243732. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Gordon Wong located?

Gordon Wong practices at 401 E 21st St, Oakland, CA 94606. The listed phone number is (510) 451-1974.

What is Gordon Wong's specialty?

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

Is Gordon Wong enrolled in Medicare?

Yes. Gordon Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gordon Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.