NPIMap

Organization Active NPI

Jonathan Z Wang DDS PLLC

Doing business as Signature Family Dentistry

  • General Practice Dentistry
  • Holly Springs, NC
National Provider Identifier
1154141828
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JONATHAN Z WANG DDS PLLC
Doing business as
Signature Family Dentistry
Practice address
5245 Sunset Lake Rd
Holly Springs, NC 27540-3793
Phone
(919) 355-1170
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JONATHAN Z WANG DDS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Gloria Bohne
Title
Director of RCM
Phone
(719) 460-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5245 Sunset Lake Rd
Holly Springs, NC 27540-3793

Mailing address

5245 Sunset Lake Rd
Holly Springs, NC 27540-3793
Phone (919) 355-1170

Other practice location 1

12 N Broad St E Ste E
Angier, NC 27501-6751
Phone (919) 355-1170

Other names 1

  • Signature Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jonathan Z Wang DDS PLLC6 organizations share this tax ID, including this one
Part of
Jonathan Z Wang DDS PLLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1154141828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 SUNSET LAKE RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403793",
            "telephone_number": "919-355-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 SUNSET LAKE RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403793",
            "telephone_number": "919-355-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 N Broad St E Ste E",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "275016751",
            "country_code": "US",
            "telephone_number": "919-355-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN Z WANG DDS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONATHAN Z WANG DDS PLLC",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "BOHNE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "719-460-8882"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.