Geoffrey Hsi-Wen Wang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9102 Issued in OR

Practice address

175 Grange Avenue
Molalla, OR 97038

Phone

(503) 829-9734

NPI assigned

Apr 8, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in OR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1083887285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152949",
            "telephone_number": "503-320-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GRANGE AVENUE",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "97038",
            "telephone_number": "503-829-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "GEOFFREY",
        "middle_name": "HSI-WEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Mary Tonga, PAC
• Transcend Health Services LLC
• Valley Chiropractic Care LLC
• Valley Chiropractic LLC
• Jay Wallace Walker, OD
• April V Wassom, PA-C
• Waterfall Counseling, LLC
• Amelie M Wegner, MD
• Austin Edward Weichlein, DMD
• Benjamin Whitted, DDS

• General Practice Dentistry in Molalla, OR
• Providers in Molalla, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.