Active NPI
Shu-Hsia Wang, D.M.D
- Dentist
- Gaithersburg, MD
National Provider Identifier
1124037247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8204
- Practice address
- 16037 Comprint Cir
Gaithersburg, MD 20877-1320 - Phone
- (301) 977-8383
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8204 | MD | Primary |
| Dentist | 122300000X | 6311 | VA |
Addresses
Primary practice location
16037 Comprint Cir
Gaithersburg, MD 20877-1320
Mailing address
951 Farm Haven Dr
Rockville, MD 20852-4248
Phone (301) 984-1985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161201000018 | MD | Order and Referring Only - Oral Surgery | 8325328743 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6311 | VA | MD | Dentist |
| 8204 | MD | MD | Dental Hygienist |
| 8240 | MD | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124037247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 FARM HAVEN DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524248",
"telephone_number": "301-984-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16037 COMPRINT CIR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771320",
"telephone_number": "301-977-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SHU-HSIA",
"name_prefix": "Mrs.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "8204",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "6311",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.