Individual provider Active NPI

Dong Wang, LAC, MD, PHD

  • Acupuncturist
  • Scottsdale, AZ
National Provider Identifier
1043107337
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
012219 Issued in AZ
Practice address
10630 N 71St PL Ste 1
Scottsdale, AZ 85254-6702
Phone
(480) 331-9568
NPI assigned
Jun 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 012219 AZ Primary

Addresses

Primary practice location

10630 N 71St PL Ste 1
Scottsdale, AZ 85254-6702

Mailing address

10630 N 71St PL Ste 1
Scottsdale, AZ 85254-6702
Phone (480) 331-9568

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 Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012219AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1043107337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 N 71ST PL STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546702",
            "telephone_number": "480-331-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 N 71ST PL STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546702",
            "telephone_number": "480-331-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DONG",
        "credential": "LAC, MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "012219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.