Active NPI
Allen M.O. Wong, D.D.S.
- General Practice Dentistry
- Honolulu, HI
National Provider Identifier
1407910540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1223
- Practice address
- 1300 Pali Hwy
Suite 211
Honolulu, HI 96813-2230 - Phone
- (808) 538-1076
- Fax
- (808) 538-1076
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1223 | HI | Primary |
Addresses
Primary practice location
1300 Pali Hwy
Suite 211
Honolulu, HI 96813-2230
Mailing address
1300 Pali Hwy
Suite 211
Honolulu, HI 96813-2230
Phone (808) 538-1076
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223 | Other | HI | HAWAII LICENSE NUMBER |
| 000851997 | Other | HI | HAWAII MEDICAL SERVICE ASSOCIATION |
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 |
|---|---|---|---|
| 1223 | HI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen M.O. Wong, DDS | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Honolulu, HI
- NPI 1841542388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1407910540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PALI HWY",
"address_2": "SUITE 211",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132230",
"telephone_number": "808-538-1076",
"fax_number": "808-538-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 PALI HWY",
"address_2": "SUITE 211",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132230",
"telephone_number": "808-538-1076",
"fax_number": "808-538-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ALLEN",
"middle_name": "M.O.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "1223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII LICENSE NUMBER",
"identifier": "1223",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII MEDICAL SERVICE ASSOCIATION",
"identifier": "000851997",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.