Melanie N. Wang, DDS, MSD, Adc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

53111 Issued in CA

Legal business name

MELANIE N. WANG, DDS, MSD, ADC

Practice address

10432 Reserve Drive Suite 114
San Diego, CA 92127

Phone

(858) 752-8131

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Melanie N Wang, DDS, MSDNPI 1588710123

Title

President

Phone

(858) 752-8131

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Nguyen Wang, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
  • NPI 1588710123
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306982301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11775 SCRIPPS LAKE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312374",
            "telephone_number": "858-566-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 RESERVE DRIVE SUITE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92127",
            "telephone_number": "858-752-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE N. WANG, DDS, MSD, ADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-752-8131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Kebede Mekonen, D.C.
• Nahom Mekonnen
• Mel S Physical Therapy Inc
• Jeffrey Michael Melancon, M.D., PH.D.
• Olivia Marie Melancon, RBT
• Melanie Wolf Marriage and Family Therapy, Inc.
• Melanie Zenor Acupuncture & Healing Arts
• Lauren Melanson, RBT
• Daniel Melara, BOCATC
• Dora Jean Melber, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.