Active NPI
Chao Wen Wang, DDS MS PEDIATRIC DEN
- Pediatric Dentistry
- Fremont, CA
National Provider Identifier
1043480916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 40127
- Practice address
- 2147 Mowry Ave Ste A4
Fremont, CA 94538-1724 - Phone
- (510) 494-9788
- Fax
- (510) 471-7427
- NPI assigned
- Mar 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC17846 | CA | |
| Pediatric Dentistry | 1223P0221X | 40127 | CA | Primary |
Addresses
Primary practice location
2147 Mowry Ave Ste A4
Fremont, CA 94538-1724
Mailing address
2147 Mowry Ave Ste A4
Fremont, CA 94538-1724
Phone (510) 494-9788
Other practice location 1
24700 Calaroga Ave Ste 104
Hayward, CA 94545-2160
Phone (510) 785-9295
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40127 | CA | MD | Pediatric Dentist |
| AC17846 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chaowen Wang DDS Inc | Single Specialty | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1043480916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 MOWRY AVE STE A4",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381724",
"telephone_number": "510-494-9788",
"fax_number": "510-471-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2147 MOWRY AVE STE A4",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381724",
"telephone_number": "510-494-9788",
"fax_number": "510-471-7427"
}
],
"practiceLocations": [
{
"address_1": "24700 Calaroga Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945452160",
"country_code": "US",
"telephone_number": "510-785-9295",
"fax_number": "510-785-9412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "CHAO WEN",
"name_prefix": "Dr.",
"credential": "DDS MS PEDIATRIC DEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17846",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "40127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.