Active NPI
Robert L K Wong DDS Inc
- Dentist
- Honolulu, HI
National Provider Identifier
1053444943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 945
- Legal business name
- ROBERT L K WONG DDS INC
- Practice address
- 4211 Waialae Avenue
Suite 305
Honolulu, HI 96816 - Phone
- (808) 735-2727
- Fax
- (808) 735-6060
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert L K Wong, DDS
- Title
- Dentist
- Phone
- (808) 735-2727
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 945 | HI | Primary |
Addresses
Primary practice location
4211 Waialae Avenue
Suite 305
Honolulu, HI 96816
Mailing address
4211 Waialae Avenue
Suite 305
Honolulu, HI 96816
Phone (808) 735-2727
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87361 | Other | HI | HAWAII MEDICAL SERVICE AS |
| 945 | Other | HI | HAWAII DENTAL SERVICE |
National Provider Directory
National Provider DirectoryLocations
4211 Waialae Ave
Ste 305
Honolulu, HI 96816
Phone (808) 735-2727
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Honolulu, HI
- NPI 1255540779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053444943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 WAIALAE AVENUE",
"address_2": "SUITE 305",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96816",
"telephone_number": "808-735-2727",
"fax_number": "808-735-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 WAIALAE AVENUE",
"address_2": "SUITE 305",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96816",
"telephone_number": "808-735-2727",
"fax_number": "808-735-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L K WONG DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L K",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "808-735-2727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "HI",
"license": "945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII MEDICAL SERVICE AS",
"identifier": "87361",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII DENTAL SERVICE",
"identifier": "945",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.