Robert Lewis Wanker, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1991 Issued in WV

Practice address

1 Medical Center Drive
Wvu School of Dentistry Room 1034
Morgantown, WV 26506-9404

Phone

(304) 293-4301

Fax

(304) 293-2859

NPI assigned

Sep 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1255581195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WAYSIDE LN",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301153",
            "telephone_number": "304-293-4301",
            "fax_number": "304-293-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "address_2": "WVU SCHOOL OF DENTISTRY ROOM 1034",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069404",
            "telephone_number": "304-293-4301",
            "fax_number": "304-293-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANKER",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "1991",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "1991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hong Wang, M.D.
• Jim C. Wang, MD
• Karen Hsiao-Ling Wang, PHARMD
• Sharon Sumin Wang, DMD, MS
• Zhijing Wang
• Ashley Wankey
• Nagwa Wankey
• Ryan Wanstreet, MD
• Tyler Scott Wanstreet
• Stephen Wanta, M.D.

• Dentist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.