Individual provider Active NPI

Titus Wongk, DMD

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1245767425
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D123381 Issued in GA
Practice address
5901 Peachtree Dunwoody Rd Ste B250
Atlanta, GA 30328-7150
Phone
(470) 713-6770
NPI assigned
May 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D123381 GA Primary

Addresses

Primary practice location

5901 Peachtree Dunwoody Rd Ste B250
Atlanta, GA 30328-7150

Mailing address

5901 Peachtree Dunwoody Rd Ste B250
Atlanta, GA 30328-7150
Phone (470) 713-6770

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D123381GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Dental Care Crestwood CurrentSince Nov 18, 2025 Accepting new patients
Smith & Smith Smile Studio, PC General Practice Past Accepting new patients

Locations

6344 W Highway 146
Ste 100
Crestwood, KY 40014
Phone (502) 241-4121

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1245767425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD STE B250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287150",
            "telephone_number": "470-713-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD STE B250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287150",
            "telephone_number": "470-713-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONGK",
        "first_name": "TITUS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "D123381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.