DR. KENNETH WONG DDS
NPI 1376683425
Dentist in Litchfield Park, AZ

Q: What is Kenneth Wong's NPI number?

The NPI number for Kenneth Wong is 1376683425. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Kenneth Wong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Wong was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 07, 2007PECOS Enrolled

13575 W INDIAN SCHOOL RD, SUITE 300, LITCHFIELD PARK, AZ 85340(623) 536-7789(623) 536-4743 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth Wong Dds NPPES

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

DR. KENNETH WONG DDS (NPI 1376683425) is an individual dentist in Litchfield Park, Arizona, licensed in Arizona (6346) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376683425

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KENNETH WONGCredential: DDS

Location Address13575 W INDIAN SCHOOL RD, SUITE 300Litchfield Park, AZ 85340-4901

Mailing Address13575 W Indian School Rd, Suite 300Litchfield Park, AZ 85340-4901 · (623) 536-7789 · Fax (623) 536-4743

Phone(623) 536-7789

Fax(623) 536-4743

Sole ProprietorNo

Enumeration DateFebruary 7, 2007

Last NPPES UpdateOctober 29, 2007

✔ NPI 1376683425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · 6346

Definition

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.

13575 W INDIAN SCHOOL RD, Litchfield Park, AZ 85340

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Other Identifiers 1

MedicaidD6346AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

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. Kenneth Wong Dds 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 85340 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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Other Providers at the Same Location NPPES 11

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

DR. MARILYN LOBO DDS

Dentist (Pediatric Dentistry)

13575 W INDIAN SCHOOL RD, STE #1000
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 935-9873

MISCHAREL REYES

Technician, Other

13575 W INDIAN SCHOOL RD
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 512-7703

DR. CHRISTOPHER ERIK OLSON D.D.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

13575 W INDIAN SCHOOL RD, SUITE 400
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 536-7004

MS. MARCIE MOORE PT, DPT

Physical Therapist

13575 W INDIAN SCHOOL RD, STE 700
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 935-5505

DR. ROGER DAYTON LIVINGOOD DDS

Dentist (Pediatric Dentistry)

13575 W INDIAN SCHOOL RD, SUITE 1000
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 935-9873

GREIG MONAKIL FLORENTO DDS

Dentist (General Practice)

13575 W INDIAN SCHOOL RD, SUITE 600
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 932-1300

WEST VALLEY ORTHODONTICS, PC

Dentist (Orthodontics and Dentofacial Orthopedics)

13575 W INDIAN SCHOOL RD, SUITE 900
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 935-7288

DR. JEFFREY NEIL BROWNSTEIN DDS

Dentist (Pediatric Dentistry)

13575 W INDIAN SCHOOL RD, SUITE 1000
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 935-9873

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 Kenneth Wong's NPI number?

The NPI number for Kenneth Wong is 1376683425. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Kenneth Wong located?

Kenneth Wong practices at 13575 W Indian School Rd Suite 300, Litchfield Park, AZ 85340. The listed phone number is (623) 536-7789.

What is Kenneth Wong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenneth Wong enrolled in Medicare?

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

What insurance does Kenneth Wong accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 12 other insurers list Kenneth Wong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Wong was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.