Organization Active NPI

Jennifer H Wang DPM PC

  • Foot Surgery Podiatrist
  • Austin, TX
National Provider Identifier
1194960997
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1646 Issued in TX
Legal business name
JENNIFER H WANG DPM PC
Practice address
13502 Paddington Cir
Austin, TX 78729-1930
Phone
(877) 801-1188
Fax
(888) 592-3646
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Jennifer H Wang, DPM
Title
President
Phone
(877) 801-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 1646 TX Primary

Addresses

Primary practice location

13502 Paddington Cir
Austin, TX 78729-1930

Mailing address

13502 Paddington Cir
Austin, TX 78729-1930
Phone (877) 801-1188

Other identifiers 4

IdentifierTypeStateIssuer
218450901MedicaidTX
D06387OtherTXRAILROAD
0085WHOtherTXBC/BS
2184509MedicaidTX

National Provider Directory

National Provider Directory

Locations

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1194960997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13502 PADDINGTON CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787291930",
            "telephone_number": "877-801-1188",
            "fax_number": "888-592-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13502 PADDINGTON CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787291930",
            "telephone_number": "877-801-1188",
            "fax_number": "888-592-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER H WANG DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-801-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218450901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "D06387",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0085WH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184509",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.