Patrick Wang DDS MD PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PATRICK WANG DDS MD PLLC

Practice address

14235 SE 92ND St
Newcastle, WA 98059-3460

Phone

(214) 215-4913

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Wang, DDS, MDNPI 1326254038

Title

Owning Member

Phone

(214) 215-4913

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Patrick Wang, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bonney Lake, WA
  • NPI 1326254038
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1174192314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14235 SE 92ND ST",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593460",
            "telephone_number": "214-215-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14235 SE 92ND ST",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593460",
            "telephone_number": "214-215-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK WANG DDS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNING MEMBER",
        "authorized_official_telephone_number": "214-215-4913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wang@cascadiaoralsurgery.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14235 SE 92nd St",
            "city": "Newcastle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980593460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Scott Mikio Oda, O.D.
• Gloria Odom
• Jack Ogilvie, DPT
• Kimberly Pandiangan, OD
• Payal Patel
• Andrea Pincus, MS, CF-SLP
• Trisha Lee Pollara, MD
• Public Hospital District #1 of King County (VMC NewCastle Primary Care)
• Public Hospital District #1 of King County (VMC Peds at NewCastle)
• Public Hospital District #1 of King County (VMC Internal Medicine NewCastle)

• Oral and Maxillofacial Surgery (Dentist) in Newcastle, WA
• Providers in Newcastle, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.