Individual provider Active NPI

Wai-Kwan NG, D.D.S., M.S.D.

  • Periodontics
  • Monroe, MI
National Provider Identifier
1861597270
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30019932 Issued in OH
Practice address
120 Cole Rd
Monroe, MI 48162-4104
Phone
(734) 242-0745
Fax
(734) 242-1884
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901016947 MI
Periodontics 1223P0300X 2901016947 MI
Periodontics 1223P0300X 30019932 OH Primary

Addresses

Primary practice location

120 Cole Rd
Monroe, MI 48162-4104

Mailing address

48606 Hilltop Dr W
Plymouth, MI 48170-5260
Phone (734) 416-4289

Other names 1

  • Dr. Veronica Wai-Kwan NG Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401001137 MI Order and Referring Only - DentistPractitioner - Dentist 8325203383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30019932OHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontal Specialists of Clarkston Periodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861597270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48606 HILLTOP DR W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481705260",
            "telephone_number": "734-416-4289",
            "fax_number": "734-416-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624104",
            "telephone_number": "734-242-0745",
            "fax_number": "734-242-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "WAI-KWAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016947",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901016947",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30019932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA WAI-KWAN",
            "last_name": "NG",
            "prefix": "DR.",
            "credential": "D.D.S., M.S.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.