NPIMap

Organization Active NPI

Carewell Dental Clinic, P.a.

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1003122896
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24119 Issued in TX
Legal business name
CAREWELL DENTAL CLINIC, P.A.
Practice address
6300 Stonewood Dr
Suite #210
Plano, TX 75024-5280
Phone
(972) 596-0100
Fax
(972) 596-7999
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Jun Wang, D.D.S., PH.D.
Title
President
Phone
(972) 596-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24119 TX Primary

Addresses

Primary practice location

6300 Stonewood Dr
Suite #210
Plano, TX 75024-5280

Mailing address

6300 Stonewood Dr
Suite #210
Plano, TX 75024-5280
Phone (972) 596-0100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1003122896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "SUITE #210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245280",
            "telephone_number": "972-596-0100",
            "fax_number": "972-596-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "SUITE #210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245280",
            "telephone_number": "972-596-0100",
            "fax_number": "972-596-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL DENTAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-596-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., PH.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.