Active NPI
Gerald H B Wong DMD Inc
Doing business as dba Waimanalo Dental and dba Hawaii Kai Dental
- General Practice Dentistry
- Waimanalo, HI
National Provider Identifier
1659432003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- PCD 88
- Legal business name
- GERALD H B WONG DMD INC
- Doing business as
- dba Waimanalo Dental and dba Hawaii Kai Dental
- Practice address
- 41-1537 Kalanianaole Hwy
Suite 10-B
Waimanalo, HI 96795-1185 - Phone
- (808) 259-9454
- Fax
- (808) 259-5714
- NPI assigned
- Dec 12, 2006
- Last updated
- Jan 14, 2010
- Organization subpart
- Yes
- Parent organization
- GERALD H B WONG DMD INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald H B Wong, DMD INC
- Title
- President
- Phone
- (808) 259-9454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | PCD 88 | HI | Primary |
Addresses
Primary practice location
41-1537 Kalanianaole Hwy
Suite 10-B
Waimanalo, HI 96795-1185
Mailing address
41-1537 Kalanianaole Hwy
Suite 10-B
Waimanalo, HI 96795-1185
Phone (808) 259-9454
Other names 1
- dba Waimanalo Dental and dba Hawaii Kai Dental
National Provider Directory
National Provider Directory- Part of
- Gerald H B Wong DMD Inc
Locations
41-1537 Kalanianaole Hwy
Ste 10B
Waimanalo, HI 96795
Phone (808) 259-9454
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Waimanalo, HI
- NPI 1699836031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1659432003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41-1537 KALANIANAOLE HWY",
"address_2": "SUITE 10-B",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "967951185",
"telephone_number": "808-259-9454",
"fax_number": "808-259-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41-1537 KALANIANAOLE HWY",
"address_2": "SUITE 10-B",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "967951185",
"telephone_number": "808-259-9454",
"fax_number": "808-259-5714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD H B WONG DMD INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GERALD H B WONG DMD INC",
"enumeration_date": "2006-12-12",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "H B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-259-9454",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD INC"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "PCD 88",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Waimanalo Dental and dba Hawaii Kai Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waimanalo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.