Individual provider Active NPI

Wai Tak Leung, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1255073631
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63374 Issued in NY
Practice address
714 58TH St Ste 1
Brooklyn, NY 11220-5176
Phone
(718) 688-1100
NPI assigned
Apr 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63374 NY Primary

Addresses

Primary practice location

714 58TH St Ste 1
Brooklyn, NY 11220-5176

Mailing address

714 58TH St Ste 1
Brooklyn, NY 11220-5176
Phone (718) 688-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129000004 NY Practitioner - Dentist 1658859988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
New York University College of Dentistry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

714 58TH St
Suite 1
Brooklyn, NY 11220-5176

776 47TH St
Brooklyn, NY 11220-1512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63374NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wai Tak Dental PLLC Dentist CurrentSince Jan 13, 2026 Accepting new patients

Locations

714 58th St
Ste 1
Brooklyn, NY 11220
Phone (718) 688-1100

Organizations & group practices 1

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1255073631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 58TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205176",
            "telephone_number": "718-688-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 58TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205176",
            "telephone_number": "718-688-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "WAI TAK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "63374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.