Active NPI
Sharon Sumin Wang, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Morgantown, WV
National Provider Identifier
1245993062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4423
- Practice address
- 451 Suncrest Town Centre Dr
Morgantown, WV 26505-1814 - Phone
- (304) 293-0204
- NPI assigned
- Oct 19, 2021
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 4423 | WV | Primary |
Addresses
Primary practice location
451 Suncrest Town Centre Dr
Morgantown, WV 26505-1814
Mailing address
451 Suncrest Town Centre Dr
Morgantown, WV 26505-1814
Other names 1
- Dr. Su Min Han
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7901 Broadway
Elmhurst, NY 11373-1329
7901 Broadway
RM A1 19
Elmhurst, NY 11373-1368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4423 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1245993062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 SUNCREST TOWN CENTRE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 SUNCREST TOWN CENTRE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051814",
"telephone_number": "304-293-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SHARON",
"middle_name": "SUMIN",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WV",
"license": "4423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SU",
"last_name": "HAN",
"middle_name": "MIN",
"prefix": "DR.",
"credential": "DMD, MS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.