Active NPI
Gerald H B Wong DMD Inc
- 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
- 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
- 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.
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.