Active NPI
Wai Tak Leung, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1255073631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63374
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63374 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wai Tak Dental PLLC | Dentist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.