Xiaojun Wang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8191 Issued in NC

Practice address

4300 Garrett Rd
Suite D
Durham, NC 27707-3487

Phone

(919) 489-8820

Fax

(919) 489-8825

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1174616114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GARRETT RD",
            "address_2": "SUITE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073487",
            "telephone_number": "919-489-8820",
            "fax_number": "919-489-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GARRETT RD",
            "address_2": "SUITE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073487",
            "telephone_number": "919-489-8820",
            "fax_number": "919-489-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "XIAOJUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyne Martin Wang, MD
• Li Wang, ARNP
• Liming Wang
• Runping Wang, MASTER DEGREE
• Weiwei Wang, N.P.
• Xueyuan Shelly Wang, M.D.
• Margaret Wittman Wannemacher, LPT
• War for Life Inc.
• War Memorial Home Healthcare Agency LLC
• Samuel Warburton

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.

Verify at the official NPI Registry.