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Deactivated NPI 1265771398 Deactivated / Inactive NPI Male Practitioner

Dr. Wing Ho Wong , DC

Chiropractor • Bothell, WA

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wing Ho Wong has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2013
NPI Deactivation Date March 30, 2023
Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Wing Ho Wong, DC was a registered Chiropractor in Bothell, WA. Prior to record deactivation on 2023-03-30, Dr. Wong completed approximately 11 years of clinical practice following graduation from Palmer College Chiropractic - Davenport in 2012.

Dr. Wong was affiliated with Wong Momentum Chiropractic Corp and accepted Medicare assignment.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

18920 Bothell Way Ne

Bothell, WA 980111981

Telephone 4254861122
Associated Practice Facility / Clinic
🏢 Eastside Medicine Ps Facility NPI 1679757405

Medicare Profile & Education

Medical School

Palmer College Chiropractic - Davenport

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Bothell, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -5.9 yrs vs City Avg
City Avg: 19.9 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
40 Specialists

Practicing in Bothell, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wong (14 Years) 14 Yrs
Bothell Specialty Average (19.9 Years) 19.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
566 66 $70.00 $47.26

Medical Specialties & State Licenses

CMS Verified: 2023-04-13
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH60309300

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Hospital & Practice Group Affiliations

Wong Momentum Chiropractic Corp

1711 Branham Ln, San Jose, CA 951185212

Phone: 4082697111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Nicole Kaufman

Chiropractor

NPI 1083220636
NPI 1083611099

Doctor of Chiropractic

John Kopet

Chiropractor

NPI 1225589138
NPI 1316421316

Doctor of Naturopathic Medicine

NPI 1386298131

Doctor of Chiropractic

Beau Kaufman

Chiropractor

NPI 1407594179

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 13, 2023

Registered at 18920 BOTHELL WAY NE, BOTHELL, WA 980111981 (Tel: 4254861122)

📍
Updated Business Mailing Address April 13, 2023

Registered at 18920 BOTHELL WAY NE, BOTHELL, WA 980111981 (Tel: 5632097070)

👤
Provider Name / Credentials Updated April 13, 2023

Recorded as WING HO WONG, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2023

Chiropractor (License #CH60309300 in WA)

⚠️
NPI Profile Deactivated March 30, 2023

Record deactivated on March 30, 2023

📍
Updated Practice Location January 05, 2023

Registered at 18920 BOTHELL WAY NE, BOTHELL, WA 980111981 (Tel: 4253345066)

📍
Updated Business Mailing Address January 05, 2023

Registered at 18920 BOTHELL WAY NE, BOTHELL, WA 980111981 (Tel: 5632097070)

📍
Updated Practice Location November 30, 2022

Registered at 905 SR 9, LAKE STEVENS, WA 982589484 (Tel: 4253345066)

📍
Updated Business Mailing Address November 30, 2022

Registered at 905 SR 9, LAKE STEVENS, WA 982589484 (Tel: 4253345066)

NPI Profile Active February 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2013

Registered at 18920 BOTHELL WAY NE, #100, BOTHELL, WA 980111981 (Tel: 4254861122)

📍
Updated Business Mailing Address February 08, 2013

Registered at 18920 BOTHELL WAY NE, #100, BOTHELL, WA 980111981 (Tel: 4254861122)

👤
Provider Name / Credentials Updated February 08, 2013

Recorded as WING HO WONG, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2013

Chiropractor (License #CH60309300 in WA)

🟢
Initial NPI Registration & Enumeration February 08, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265771398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2013
Last Update: April 13, 2023
Deactivation Date: March 30, 2023
Sole Proprietor: No

Mailing Address

18920 Bothell Way Ne

Bothell, WA 980111981

Phone: 5632097070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.