Active NPI
Kim & Wang DDS PLLC
Doing business as K & W Dental at Forest Hills
- Periodontics
- Forest Hills, NY
National Provider Identifier
1790340875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- KIM & WANG DDS PLLC
- Doing business as
- K & W Dental at Forest Hills
- Practice address
- 10737 71St Ave Ste 203
Forest Hills, NY 11375-4736 - Phone
- (718) 261-1432
- NPI assigned
- May 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Howard Hao Wang, DDS
- Title
- President
- Phone
- (646) 705-4908
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| Periodontics | 1223P0300X | Primary |
Addresses
Primary practice location
10737 71St Ave Ste 203
Forest Hills, NY 11375-4736
Mailing address
107-37 71St Ave
Suite 203, Mailbox #4
Forest Hills, NY 11375
Phone (718) 261-1432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5530818 | Other | NY | NY DEPARTMENT OF STATE |
Other names 1
- K & W DENTAL AT FOREST HILLS
National Provider Directory
National Provider DirectoryLocations
10737 71st Ave
Ste 203
Forest Hills, NY 11375
Phone (718) 261-1432
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Forest Hills, NY
- NPI 1083096986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557014400000",
"number": "1790340875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107-37 71ST AVE",
"address_2": "SUITE 203, MAILBOX #4",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-261-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10737 71ST AVE STE 203",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754736",
"telephone_number": "718-261-1432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM & WANG DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-05",
"last_updated": "2019-05-05",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "HAO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-705-4908",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY DEPARTMENT OF STATE",
"identifier": "5530818",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "K & W DENTAL AT FOREST HILLS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.