NPIMap

Organization Active NPI

Mark Y Wang DMD PC

  • General Practice Dentistry
  • Concord, MA
National Provider Identifier
1073773362
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18701 Issued in MA
Legal business name
MARK Y WANG DMD PC
Doing business as
Concord Dental Associates
Practice address
290 Baker Ave
Suite 104
Concord, MA 01742-2189
Phone
(978) 369-6611
Fax
(978) 371-3041
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Mark Yingkuang Wang, DMD
Title
President
Phone
(978) 369-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18701 MA Primary

Addresses

Primary practice location

290 Baker Ave
Suite 104
Concord, MA 01742-2189

Mailing address

290 Baker Ave
Suite 104
Concord, MA 01742-2189
Phone (978) 369-6611

Other names 1

  • Concord Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concord Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

290 Baker Ave
Ste 104
Concord, MA 01742
Phone (978) 369-6611

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1073773362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "address_2": "SUITE 104",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-6611",
            "fax_number": "978-371-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "address_2": "SUITE 104",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-6611",
            "fax_number": "978-371-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK Y WANG DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "YINGKUANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-369-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.