NPIMap

Organization Active NPI

Awla Olson Wong, PLLC

  • Dental Clinic/Center
  • Redmond, WA
National Provider Identifier
1043068232
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AWLA OLSON WONG, PLLC
Practice address
8105 166TH Ave NE Ste 103
Redmond, WA 98052-3999
Phone
(425) 300-9056
Fax
(425) 300-9057
NPI assigned
May 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. Jacqueline Wong, DDS, MSDNPI 1417315490
Title
Owner
Phone
(425) 223-3432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8105 166TH Ave NE Ste 103
Redmond, WA 98052-3999

Mailing address

8105 166TH Ave NE Ste 103
Redmond, WA 98052-3999
Phone (425) 300-9056

Other names 1

  • NORTHWEST CENTER FOR ORAL MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

8105 166th Ave NE
Ste 103
Redmond, WA 98052
Phone (425) 300-9056

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1043068232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 166TH AVE NE STE 103",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523999",
            "telephone_number": "425-300-9056",
            "fax_number": "425-300-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 166TH AVE NE STE 103",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523999",
            "telephone_number": "425-300-9056",
            "fax_number": "425-300-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWLA OLSON WONG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-223-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST CENTER FOR ORAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHWEST CENTER FOR ORAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.