Individual provider Active NPI

Aldrin B.L. Wong, D.D.S.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1497089114
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-1802 Issued in HI
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

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625000818 HI Order and Referring Only - Other (Non-Physician) 1658682059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT-1802HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.