Kan Wongkamhaeng

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

40167 Issued in IA

Practice address

414 Dental Science BLDG S
Iowa City, IA 52242-1001

Phone

(319) 335-7274

NPI assigned

Sep 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1932535192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 DENTAL SCIENCE S",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421001",
            "telephone_number": "319-335-7440",
            "fax_number": "319-335-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 DENTAL SCIENCE BLDG S",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421001",
            "telephone_number": "319-335-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONGKAMHAENG",
        "first_name": "KAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IA",
            "license": "40167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women'S Health Project, Inc.
• Amber Marie Wong, MA
• Carolyn Wong, MD
• Cynthia Wong, MD
• Samuel W Wong, D.O.
• Alyssa Justine Wood, D.O./M.B.A.
• Alyssa Marie Wood, ARNP
• Audrey Lee Wood, MA, CF-SLP
• Britta Nicole Wood, ARNP
• Heidi Marie Wood, PHARM.D.

• Prosthodontics in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Prosthodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.