Joseph Wang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1056 Issued in AK

Practice address

950 E Bogard Rd
Suite #225
Wasilla, AK 99654-7184

Phone

(907) 376-0600

Fax

(907) 373-0745

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1174746689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD",
            "address_2": "SUITE #225",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547184",
            "telephone_number": "907-376-0600",
            "fax_number": "907-373-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD",
            "address_2": "SUITE #225",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547184",
            "telephone_number": "907-376-0600",
            "fax_number": "907-373-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DDG046",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walmart, Inc.
• Michael Walsh
• Walther Dental Inc
• Newell A Walther, D.D.S.
• Davina Walton
• Brooke Want
• Alexis Ward
• Clint Matthew Ward
• Kinsey Nicole Ward, CDM
• Kristin Ware, MA

• Dentist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.