Active NPI
Jen-Kuei Wang, PH.D., D.D.S.
- Endodontics
- Sunnyvale, CA
National Provider Identifier
1033374897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 53044
- Practice address
- 1286 Kifer Rd Ste 111
Sunnyvale, CA 94086-5325 - Phone
- (408) 245-8822
- Fax
- (408) 245-8823
- NPI assigned
- Jul 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 53044 | CA | Primary |
Addresses
Primary practice location
1286 Kifer Rd Ste 111
Sunnyvale, CA 94086-5325
Mailing address
1286 Kifer Rd Ste 111
Sunnyvale, CA 94086-5325
Phone (408) 245-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53044 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1033374897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1286 KIFER RD STE 111",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940865325",
"telephone_number": "408-245-8822",
"fax_number": "408-245-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1286 KIFER RD STE 111",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940865325",
"telephone_number": "408-245-8822",
"fax_number": "408-245-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JEN-KUEI",
"name_prefix": "Dr.",
"credential": "PH.D., D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-22",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "53044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.