John Kong, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

051193-1 Issued in NY

Practice address

12510 Queens Blvd Ste 219
Kew Gardens, NY 11415-1506

Phone

(718) 263-5991

Fax

(718) 268-0105

NPI assigned

Mar 22, 2007

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

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 and National Provider Directory roles.

• Better Living Through Dentistry, PLLC

  • Dental Clinic/Center
  • Kew Gardens, NY
  • NPI 1942869771
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1730205691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753556",
            "telephone_number": "646-483-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 QUEENS BLVD STE 219",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151506",
            "telephone_number": "718-263-5991",
            "fax_number": "718-268-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 W 68th St Apt 228",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100235824",
            "country_code": "US",
            "telephone_number": "212-724-6280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONG",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02274200",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "051193-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Nancy Kivel, PHD
• Klein Physical Therapy Care PC
• Janet Marie Klein, DPT
• Alicia Knight-Debrady, MD
• Olivia Knight
• Sara R Koster, MA CCC SLP
• Miriam Kraft, RN, BSN
• Monica Kraft
• Gary Krigsman, M.D.
• Krishan Kumar, M.D.

• Periodontics in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.