Won Hee Tak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048044 Issued in NY

Practice address

21015 Northern Blvd Ste B
Bayside, NY 11361-3239

Phone

(718) 225-0919

Fax

(718) 225-8005

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1295812287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRENTWOOD DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503106",
            "telephone_number": "973-731-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 NORTHERN BLVD STE B",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613239",
            "telephone_number": "718-225-0919",
            "fax_number": "718-225-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 2nd Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078342748",
            "country_code": "US",
            "telephone_number": "973-625-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAK",
        "first_name": "WON HEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02237500",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara J Szanto, R.N.
• Danielle Justine Szempruch
• Taebaek Acupuncture P.C
• Sarah Taj
• Maria Laura Tajes, CCC-SLP
• Phoebe C. Tam, PA
• Riza Tan
• Stella Ei Be Tan, D.D.S
• Xiaofang Tan, RDN, CDN
• Jessica N Tasca, PH.D.

• General Practice Dentistry in Bayside, NY
• Providers in Bayside, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.