Individual provider Active NPI

Frank Pan Wang, DDS

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1164123774
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39679 Issued in TX
Practice address
8801 Eldorado Pkwy Ste 300
McKinney, TX 75070-2371
Phone
(469) 899-0625
NPI assigned
Mar 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39679 TX Primary

Addresses

Primary practice location

8801 Eldorado Pkwy Ste 300
McKinney, TX 75070-2371

Mailing address

3610 W University Dr Ste 400
McKinney, TX 75071-2952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115004003 TX Order and Referring Only - DentistPractitioner - Dentist 3779930540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stonebridge Modern Dentistry, PC General Practice CurrentSince Jul 7, 2024 Accepting new patients
Dental & Beyond PC PastSince Jun 1, 2023 Accepting new patients
Forney Modern Dentistry and Orthodontics General Practice PastSince Jul 1, 2023 Accepting new patients

Locations

8801 Eldorado Pkwy
Ste 300
McKinney, TX 75070
Phone (469) 899-0625

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1164123774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 W UNIVERSITY DR STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 ELDORADO PKWY STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702371",
            "telephone_number": "469-899-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "FRANK",
        "middle_name": "PAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.