Active NPI
Aldrin B.L. Wong, D.D.S.
- General Practice Dentistry
- Honolulu, HI
National Provider Identifier
1497089114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DT-1802
- Practice address
- 2226 Liliha St
Suite 303
Honolulu, HI 96817-1600 - Phone
- (808) 538-1190
- Fax
- (808) 538-3843
- NPI assigned
- Sep 28, 2009
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT-1802 | HI | Primary |
Addresses
Primary practice location
2226 Liliha St
Suite 303
Honolulu, HI 96817-1600
Mailing address
2226 Liliha St
Suite 303
Honolulu, HI 96817-1600
Phone (808) 538-1190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625000818 | HI | Order and Referring Only - Other (Non-Physician) | 1658682059 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-1802 | HI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aw Dental Group , Inc. | 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 1083761118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1497089114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2226 LILIHA ST",
"address_2": "SUITE 303",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171600",
"telephone_number": "808-538-1190",
"fax_number": "808-538-3843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2226 LILIHA ST",
"address_2": "SUITE 303",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171600",
"telephone_number": "808-538-1190",
"fax_number": "808-538-3843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ALDRIN",
"middle_name": "B.L.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-28",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT-1802",
"primary": true
}
],
"identifiers": [],
"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 Sep 28, 2009; 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.