Active NPI
Richard H Wong, D.D.S.
- Dentist
- Hyattsville, MD
National Provider Identifier
1740302009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11579
- Practice address
- 6525 Belcrest Rd
Suite 202
Hyattsville, MD 20782-2003 - Phone
- (301) 927-7211
- NPI assigned
- Apr 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11579 | MD | Primary |
Addresses
Primary practice location
6525 Belcrest Rd
Suite 202
Hyattsville, MD 20782-2003
Mailing address
4004 Glenrose St
Kensington, MD 20895-3715
Phone (301) 933-1959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713000269 | MD | Order and Referring Only - Dentist | 6305158866 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740302009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 GLENROSE ST",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208953715",
"telephone_number": "301-933-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6525 BELCREST RD",
"address_2": "SUITE 202",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207822003",
"telephone_number": "301-927-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "RICHARD",
"middle_name": "H",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "11579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.