Jason Wesley Kwok, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12678 Issued in CT

Practice address

130 New London Tpke Ste 4
Norwich, CT 06360-2624

Phone

(860) 889-1660

NPI assigned

Feb 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1316306236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NEW LONDON TPKE STE 4",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NEW LONDON TPKE STE 4",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602624",
            "telephone_number": "860-889-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012228",
            "country_code": "US",
            "telephone_number": "510-485-5925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Cloverdale",
            "state": "CA",
            "postal_code": "954253204",
            "country_code": "US",
            "telephone_number": "707-894-4229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Cambridge Ct",
            "address_purpose": "LOCATION",
            "city": "Simsbury",
            "state": "CT",
            "postal_code": "060701340",
            "country_code": "US",
            "telephone_number": "858-349-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWOK",
        "first_name": "JASON",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-19",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101603",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101603",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "12678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuzana Kudernatschova, DPT
• Kamlesh Kumar, MD
• Suchita Mehemala Kumar, M.D.
• Jennifer Kutia
• Heather Kwasnick, LMSW
• Lauren Labak, PHARMD
• Marisa Labrecque-Grenier
• Joseph R Labrecque, LPC
• Rhonda J Labua, LCSW
• James Henry Lacey Jr

• Endodontics in Norwich, CT
• Providers in Norwich, CT by specialty
• Endodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.