Kanton Ming Wong, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010168 Issued in WA

Practice address

11066 5TH Ave NE
Suite 108
Seattle, WA 98125-6156

Phone

(425) 445-4001

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• WA PPO C-SNP

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1003970450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 160TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065626",
            "telephone_number": "425-378-1848",
            "fax_number": "425-378-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11066 5TH AVE NE",
            "address_2": "SUITE 108",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256156",
            "telephone_number": "425-445-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KANTON",
        "middle_name": "MING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fung Wong
• Jennifer Marie Wong, OT
• Johnny Wong, PHARMD
• Joshua Nick Kar Wong, M.D., B.SC., M.SC.
• Kam Wong, LD
• Karen Wong
• Kaylyn Kit Man Wong, MD
• Keith B Wong, DDS, MS
• Kellene Jane Wong
• Keri Anne Jun Lan Wong, DDS

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.