Active NPI
Yi Wang, DMD
- Dentist
- Dorchester, MA
National Provider Identifier
1144200817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20658
- Practice address
- 250 Mount Vernon St
Dorchester, MA 02125 - Phone
- (617) 288-1140
- Fax
- (617) 288-3910
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20658 | MA | Primary |
Addresses
Primary practice location
250 Mount Vernon St
Dorchester, MA 02125
Mailing address
103 Mass Ave
Arlington, MA 02474
Phone (781) 646-3739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20658 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Family Dental, PLLC | Dentist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Cambridge, MA
- NPI 1386420891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1144200817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MASS AVE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "02474",
"telephone_number": "781-646-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MOUNT VERNON ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02125",
"telephone_number": "617-288-1140",
"fax_number": "617-288-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "YI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "20658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.