Wing H Ko, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8990 Issued in CT

Practice address

21 Pleasant St
Bristol, CT 06010-6285

Phone

(860) 582-8095

Fax

(860) 589-3675

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS. Bencivengo & Gaudio, D.M.D.,P.C.

  • General Practice Dentistry
  • Bristol, CT
  • NPI 1659589596
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1124147004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PLEASANT ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106285",
            "telephone_number": "860-582-8095",
            "fax_number": "860-606-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PLEASANT ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106285",
            "telephone_number": "860-582-8095",
            "fax_number": "860-589-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "WING",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yutdhasak Kjornrattanawanich, DMD
• Kelli Ann Klies, RN
• Melanie Klinck
• Elaine Mary Knowles, RPH
• A.E. Hertzler Knox, MD
• Alexander Komm
• Mary Ann Koprek
• Laura Wegh Koski, RD
• Anjali Kothari
• Kenneth I Krasner, MD

• General Practice Dentistry in Bristol, CT
• Providers in Bristol, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.