Individual provider Active NPI

Weiyee Wong, D.D.S.

  • General Practice Dentistry
  • Katonah, NY
National Provider Identifier
1992145783
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
057241 Issued in NY
Practice address
190 Goldens Bridge Rd
Katonah, NY 10536
Phone
(914) 232-1070
Fax
(914) 232-1080
NPI assigned
Jun 26, 2013
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 057241 NY Primary

Addresses

Primary practice location

190 Goldens Bridge Rd
Katonah, NY 10536

Mailing address

190 Goldens Bridge Rd
Katonah, NY 10536-2810
Phone (914) 232-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160421000709 NY Order and Referring Only - DentistPractitioner - Dentist 6800194069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057241NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldens Bridge Family Dentistry PLLC General Practice Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1992145783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362810",
            "telephone_number": "914-232-1070",
            "fax_number": "914-252-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "10536",
            "telephone_number": "914-232-1070",
            "fax_number": "914-232-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "WEIYEE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

Verify at the official NPI Registry.