KARI CWIAK, DMD & JONATHAN L WONG, DMD , PLLC (NPI# 1184155962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184155962 |
| Entity Type | Organization |
| Organization Name | KARI CWIAK, DMD & JONATHAN L WONG, DMD , PLLC |
| Other Organization Name | COASTAL PEDIATRIC DENTAL & ANESTHESIA |
| Practice Address |
6161 Kempsville Cir Suite 345 Norfolk VA 23502-3932 |
| Mailing Address |
303 55th St Unit A Virginia Beach VA 23451-2231 |
| Practice Telephone | 6027991748 |
| Mailing Telephone | 6027991748 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-07-31 |
| Authorized Official Name | DR. JONATHAN LAWRENCE WONG (DENTIST ANESTHESIOLOGIST, OWNER) |
| Authorized Official Telephone | 6027991748 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 0401414467 | VA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401413751 | VA | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
0447000045 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Coastal Pediatric Dental & Anesthesia | Doing Business As Name - Organization |
| Street Address |
6161 KEMPSVILLE CIR SUITE 345 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023262 | Mark Joseph Mccarthy | Specialist | 6161 Kempsville Cir, Suite 215, Norfolk, VA 23502-3932 | 2005-06-16 |
| 1033639091 | Melanie Gilbert | Physical Therapist | 6161 Kempsville Cir, Norfolk, VA 23502-3932 | 2017-06-21 |
| 1205293511 | Jennifer Katherine Hatch | Physical Therapist | 6161 Kempsville Cir, Suite 250, Norfolk, VA 23502-3932 | 2016-01-19 |
| 1235594524 | Mid Atlantic Optical LLC | Optometrist | 6161 Kempsville Cir, Ste. 130, Norfolk, VA 23502-3932 | 2015-12-31 |
| 1699172700 | Shannon Cray | Psychologist | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 | 2014-12-04 |
| 1629493218 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 6161 Kempsville Cir, Suite 155, Norfolk, VA 23502-3932 | 2014-02-19 |
| 1598991994 | Renee S Walker | Physician Assistant | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 | 2009-06-01 |
| 1336393701 | Ingrid Paola Loma-miller | Psychiatry & Neurology | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 | 2008-11-11 |
| 1134377179 | Elite Women's Care | Specialist | 6161 Kempsville Cir, Halifax Building Suite 340, Norfolk, VA 23502-3932 | 2008-09-03 |
| 1174785497 | Simin Vakily Asl | Family Medicine | 6161 Kempsville Cir, Suite 225, Norfolk, VA 23502-3932 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255101 | John T. Will, Dds, Pllc | Dentist | 4545 Riverside Dr Ste C, Danville, VA 24541-5173 | 2020-01-29 |
| 1063971281 | Premier Dental Group Pllc | Dentist | 9420 Forestwood Ln Ste 201, Manassas, VA 20110-4758 | 2019-03-18 |
| 1831629419 | Hampton Roads Anesthesia & Dentistry, Pllc | Dentist | 1206 Laskin Rd Ste 140, Virginia Beach, VA 23451-5267 | 2017-06-15 |
| 1215382262 | Avanti Specialty Pllc | Dentist | 1500 Cornerside Blvd Ste 500, Tysons Corner, VA 22182-2440 | 2016-04-27 |
| 1700142148 | Mitesh B Gandhi | Dentist | 364 Lowes Dr Ste J, Danville, VA 24540-5930 | 2012-04-10 |
| 1689295586 | Jim Ervil | Dentist | 3824 Mechanicsville Tpke, Richmond, VA 23223-1114 | 2020-05-01 |
| 1881134005 | Babak Razmazma Dds Inc | Dentist | 11654 Plaza America Dr, 163, Reston, VA 20190-4700 | 2017-03-07 |
| 1437534708 | Commonwealth Dental Anesthesia Associates PC | Dentist | 1101 Haxall Pt, Unit 1004, Richmond, VA 23219-3941 | 2015-07-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.