Scott Kendrick Wong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1524 Issued in HI

Practice address

848 S Beretania St Ste 304
Honolulu, HI 96813-2551

Phone

(808) 531-5071

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Kent Sato DMD

  • Dentist
  • Honolulu, HI
  • NPI 1790219343
  NPD (past)
• Niko Niko Family Dentistry LLC

  • Dental Clinic/Center
  • Honolulu, HI
  • NPI 1215670104
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861531428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 S BERETANIA ST STE 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132551",
            "telephone_number": "808-531-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 S BERETANIA ST STE 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132551",
            "telephone_number": "808-531-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SCOTT",
        "middle_name": "KENDRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS",
            "identifier": "1524",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "834948",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A2403-2",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02171301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald J Wong, M.D.
• Rupa Krishnamurthy Wong, M.D.
• Russell Wong, M.D.
• Samantha Wong, BA
• Sara Wong
• Sharon Wong
• Shau-Jwo Wong, M.S., CCC-SLP
• Sherry Sum Yin Wong
• Sherry Tan Wong, O.D.
• Stanley F.H. Wong, D.D.S.

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.