Gerald M B Wong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

765 Issued in HI

Practice address

411537 Kalanianaole Highway
Suite 10B
Waimanalo, HI 96795

Phone

(808) 259-9454

Fax

(808) 259-5714

NPI assigned

Dec 12, 2006

Last updated

Nov 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gerald H B Wong DMD Inc

  dba dba Waimanalo Dental and dba Hawaii Kai Dental

  • General Practice Dentistry
  • Waimanalo, HI
  • NPI 1659432003
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1699836031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411537 KALANIANAOLE HIGHWAY",
            "address_2": "SUITE 10B",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "96795",
            "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": "411537 KALANIANAOLE HIGHWAY",
            "address_2": "SUITE 10B",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "96795",
            "telephone_number": "808-259-9454",
            "fax_number": "808-259-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "GERALD",
        "middle_name": "M B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Linne Waldinger, L.AC.
• We the Well Beings, LLC
• Antoinette Kaleiwohiokalani Whittington, MSCP, LMHC
• Heather Wilde, RBT
• Kathryn Woehrle, MFT
• Melissa-Anne Wong, MS, RD, LD, CDCES
• Kyana-Lei Keiko Yamada, PSYD
• Leigh Ziegler
• Emma Alexandra Zlatanovska, DMD

• General Practice Dentistry in Waimanalo, HI
• Providers in Waimanalo, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.