Active NPI
Wilson Duong, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1306287453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 056685
- Practice address
- 355 Ovington Ave Ste 101
Brooklyn, NY 11209 - Phone
- (718) 833-2880
- NPI assigned
- Jul 16, 2013
- 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 | 056685 | NY | Primary |
Addresses
Primary practice location
355 Ovington Ave Ste 101
Brooklyn, NY 11209
Mailing address
429 85TH St
Brooklyn, NY 11209-4705
Phone (646) 286-5248
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056685 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ovington Dentistry | Past | Accepting new patients | |
| Integrated Endodontics PLLC | Past | Accepting new patients |
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.
-
- Endodontics
- Brooklyn, NY
- NPI 1730725516
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1083027833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1306287453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 85TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094705",
"telephone_number": "646-286-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 OVINGTON AVE STE 101",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "718-833-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "WILSON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056685",
"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 Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.