Grant J Wong DDS PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE8803 Issued in WA

Legal business name

GRANT J WONG DDS PS

Practice address

4215 Rainier Ave S # a
Seattle, WA 98118-1356

Phone

(206) 723-1877

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Grant Wong, DDSNPI 1154418465

Title

Dentist

Phone

(206) 723-1877

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grant J Wong, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1154418465
  NPD (past) Authorized official

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1619422359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 RAINIER AVE S # A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181356",
            "telephone_number": "206-723-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 RAINIER AVE S # A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181356",
            "telephone_number": "206-723-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT J WONG DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-723-1877",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE8803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Charles Granger, PHARMD
• Rebecca Granieri, MA, CCC-SLP
• Benjamin L Grannan, MD
• Raul Francisco Grano, COLLECTIONS TECH
• Jarred Dustin Granstrom, LMT
• Abigail Ruth Grant, MD
• Brian L. Grant, M.D.
• Carly Grant
• Carol Grant, PT
• Dana Amrita Grant

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.