Organization Active NPI

Wen Sheng Wang Dental Corporation

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1104040468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48678 Issued in CA
Legal business name
WEN SHENG WANG DENTAL CORPORATION
Practice address
1725 W 6TH St
Los Angeles, CA 90017-1003
Phone
(213) 413-5151
Fax
(213) 413-7171
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wen Wang
Title
Owner
Phone
(213) 413-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48678 CA Primary

Addresses

Primary practice location

1725 W 6TH St
Los Angeles, CA 90017-1003

Mailing address

1725 W 6TH St
Los Angeles, CA 90017-1003
Phone (213) 413-5151

Other names 1

  • WEST COAST DENTAL GROUP OF 6TH STREET Doing business as

National Provider Directory

National Provider Directory

Locations

1725 W 6th St
Los Angeles, CA 90017
Phone (213) 223-2610

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104040468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171003",
            "telephone_number": "213-413-5151",
            "fax_number": "213-413-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171003",
            "telephone_number": "213-413-5151",
            "fax_number": "213-413-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEN SHENG WANG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "WEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-413-5151"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST COAST DENTAL GROUP OF 6TH STREET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.