Rose L Wang, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3059 Issued in NH

Practice address

159 Main Dunstable Rd
Suite 103
Nashua, NH 03060-3642

Phone

(603) 882-7201

Fax

(603) 882-9416

NPI assigned

Dec 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 13, 2016 through Apr 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rose Dental PLLC

  • Dental Clinic/Center
  • Nashua, NH
  • NPI 1104338334
  NPD (past)
• Rose L. Wang DMD PLLC

  • Dental Clinic/Center
  • Nashua, NH
  • NPI 1053796243
  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073681326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MAIN DUNSTABLE RD",
            "address_2": "SUITE 103",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603642",
            "telephone_number": "603-882-7201",
            "fax_number": "603-882-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MAIN DUNSTABLE RD",
            "address_2": "SUITE 103",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603642",
            "telephone_number": "603-882-7201",
            "fax_number": "603-882-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ROSE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Walton, BS
• Wanderlust Therapeutic Services, PLLC
• Margaret E Wandrey, RD, LD
• Can Wang
• Chengping Wang, APRN
• Yulan Wang, MD
• Jessica Lynn Waninger
• Alice Esther Warren
• Kristen Warren, BS
• Mary H Warren, APRN

• General Practice Dentistry in Nashua, NH
• Providers in Nashua, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.