NPIMap

Organization Active NPI

Kenneth K Woo PC

  • General Practice Dentistry
  • Seekonk, MA
National Provider Identifier
1851491880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16623 Issued in MA
Legal business name
KENNETH K WOO PC
Practice address
1563 Fall River Ave
Seekonk, MA 02771
Phone
(508) 336-7755
Fax
(508) 336-9970
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kenneth K Woo, DDSNPI 1942460324
Title
President
Phone
(508) 336-7755

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16623 MA Primary

Addresses

Primary practice location

1563 Fall River Ave
Seekonk, MA 02771

Mailing address

1563 Fall River Ave
Seekonk, MA 02771
Phone (508) 336-7755

Other identifiers 6

IdentifierTypeStateIssuer
190633OtherUNITED CONCORDIA
8503-4OtherRIBLUE CROSS - RI
X11529OtherMABLUE CROSS - MA
0005993224OtherAETNA
16623OtherRIDELTA DENTAL
14495-1OtherUNITED HEALTH CARE

Other names 1

  • SeeKonk Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851491880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "02771",
            "telephone_number": "508-336-7755",
            "fax_number": "508-336-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "02771",
            "telephone_number": "508-336-7755",
            "fax_number": "508-336-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH K WOO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-336-7755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "190633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - RI",
            "identifier": "8503-4",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - MA",
            "identifier": "X11529",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005993224",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "16623",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "14495-1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SeeKonk Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seekonk, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.