NPIMap

Organization Active NPI

Wang and Jean DMD Inc

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1093418543
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WANG AND JEAN DMD INC
Doing business as
wang and jean dmd inc
Practice address
219 E 17TH St
Santa Ana, CA 92706-2802
Phone
(714) 667-0161
Fax
(714) 667-2928
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Charng Shing JeanNPI 1730260209
Title
Owner
Phone
(949) 551-4737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

219 E 17TH St
Santa Ana, CA 92706-2802

Mailing address

4200 Trabuco Rd Ste 130
Irvine, CA 92620-3622
Phone (949) 551-4737

Other names 1

  • wang and jean dmd inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charng Shing Jean Dental Corporation2 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.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1093418543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203622",
            "telephone_number": "949-551-4737",
            "fax_number": "949-551-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062802",
            "telephone_number": "714-667-0161",
            "fax_number": "714-667-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG AND JEAN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "CHARNG SHING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-551-4737"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wang and jean dmd inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.