Active NPI
Jianghua Wang, D.D.S
- General Practice Dentistry
- Culver City, CA
National Provider Identifier
1205138047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59963
- Practice address
- 10826 Venice Blvd Ste 101
Culver City, CA 90232-3649 - Phone
- (310) 558-3384
- NPI assigned
- Nov 30, 2010
- Last updated
- Dec 31, 2013
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59963 | CA | Primary |
Addresses
Primary practice location
10826 Venice Blvd Ste 101
Culver City, CA 90232-3649
Mailing address
11015 National Blvd Apt 4
Los Angeles, CA 90064-4047
Phone (310) 866-3730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jianghua Wang DDS Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Link Dental Center
- General Practice Dentistry
- Culver City, CA
- NPI 1588023139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1205138047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11015 NATIONAL BLVD APT 4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900644047",
"telephone_number": "310-866-3730",
"fax_number": "310-878-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10826 VENICE BLVD STE 101",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323649",
"telephone_number": "310-558-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JIANGHUA",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-30",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.