Active NPI
Natalie M Whang, DDS
- Dentist
- Palm Desert, CA
National Provider Identifier
1164586368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54830
- Practice address
- 41865 Boardwalk
Suite 210
Palm Desert, CA 92211-9026 - Phone
- (760) 773-5747
- Fax
- (760) 773-5787
- NPI assigned
- Dec 21, 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 | 54830 | CA | Primary |
Addresses
Primary practice location
41865 Boardwalk
Suite 210
Palm Desert, CA 92211-9026
Mailing address
41865 Boardwalk
Suite 210
Palm Desert, CA 92211-9026
Phone (760) 773-5747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20160525002834 | CA | Order and Referring Only - Dentist | 2769772151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- nwhang684949@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1164586368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41865 BOARDWALK",
"address_2": "SUITE 210",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922119026",
"telephone_number": "760-773-5747",
"fax_number": "760-773-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41865 BOARDWALK",
"address_2": "SUITE 210",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922119026",
"telephone_number": "760-773-5747",
"fax_number": "760-773-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHANG",
"first_name": "NATALIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
- Weissman & Stone Med GRP, Inc., a Professinal Corporation
- Well Trevi Carlotta SNF LLC
- Welltrust Home Health Care
- West Coast Surgery Inc
- Matthew Wettlaufer, PH.D
- Elizabeth Whittet, OTR/L
- Kelsey Lynne Wickerham
- Will Family Medical Group, a Professional Corporation
- Michael Lawrence Will, MD
- William M Kelly M.D., Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.