Thomas Kwong, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

2901020356 Issued in MI

Practice address

5907 Oakland Dr
Portage, MI 49024-1120

Phone

(269) 327-4459

NPI assigned

Jun 6, 2008

Last updated

Nov 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Chuandi Wang Pediatric Dentistry PC

  • Pediatric Dentistry
  • Portage, MI
  • NPI 1205453149
  NPD (past)
• Kalamazoo Anesthesiology P C

  • Anesthesiology Physician
  • Kalamazoo, MI
  • NPI 1407821796
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1700045523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 OAKLAND DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241120",
            "telephone_number": "269-327-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 OAKLAND DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241120",
            "telephone_number": "269-327-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020356",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ellen Krolikowski, O.T.
• Kayla Kuiper
• Matthew Lars Kuiper, DO
• Sophia Kurnyak
• Kwong Orthodontics, PC
• Carly Lacelle
• Melissa Elizabeth Lacharite, LPC
• Ronald Ken Ladouce, NP
• Corbett Lafrance, AT, ATC
• Corey J. Lager, MD

• Dentist in Portage, MI
• Providers in Portage, MI by specialty
• Dentist in Michigan

• 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.