Active NPI
Kin Wong, DMD
- General Practice Dentistry
- Burlington, MA
National Provider Identifier
1518971605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 018062
- Practice address
- 30 Chestnut Ave
Burlington, MA 01803-1607 - Phone
- (781) 272-3663
- Fax
- (781) 272-0873
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- 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 | 018062 | MA | Primary |
Addresses
Primary practice location
30 Chestnut Ave
Burlington, MA 01803-1607
Mailing address
30 Chestnut Ave
Burlington, MA 01803-1607
Phone (781) 272-3663
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 |
|---|---|---|---|
| 018062 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim Wong DMD PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518971605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CHESTNUT AVE",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018031607",
"telephone_number": "781-272-3663",
"fax_number": "781-272-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CHESTNUT AVE",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018031607",
"telephone_number": "781-272-3663",
"fax_number": "781-272-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "KIN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "018062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.