Individual provider Active NPI

Yu Ting Wang, D.D.S

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1265848709
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30211 Issued in TX
Practice address
360 Stonebrook Pkwy Ste 110
Frisco, TX 75034-5356
Phone
(469) 252-0522
NPI assigned
Jul 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6716 OK
General Practice Dentistry 1223G0001X 30211 TX Primary

Addresses

Primary practice location

360 Stonebrook Pkwy Ste 110
Frisco, TX 75034-5356

Mailing address

360 Stonebrook Pkwy Ste 110
Frisco, TX 75034-5356
Phone (469) 252-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160921000124 TX Order and Referring Only - DentistPractitioner - Dentist 1254628167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6716OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ywdds PLLC Dentist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1265848709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STONEBROOK PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345356",
            "telephone_number": "469-252-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STONEBROOK PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345356",
            "telephone_number": "469-252-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YU TING",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-04",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6716",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.