Organization Active NPI

Chaowen Wang DDS Inc

  • Dentist
  • Hayward, CA
National Provider Identifier
1316011372
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40127 Issued in CA
Legal business name
CHAOWEN WANG DDS INC
Practice address
24700 Calaroga Ave
Ste #104
Hayward, CA 94545-2160
Phone
(510) 785-9295
Fax
(510) 785-9412
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chaowen Wang, PEDIATRIC DENTISTNPI 1043480916
Title
Owner President
Phone
(510) 785-9295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 40127 CA Primary

Addresses

Primary practice location

24700 Calaroga Ave
Ste #104
Hayward, CA 94545-2160

Mailing address

24700 Calaroga Ave
Ste #104
Hayward, CA 94545-2160
Phone (510) 785-9295

National Provider Directory

National Provider Directory

Locations

24700 Calaroga Ave
Ste 104
Hayward, CA 94545
Phone (510) 785-9295

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316011372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24700 CALAROGA AVE",
            "address_2": "STE #104",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452160",
            "telephone_number": "510-785-9295",
            "fax_number": "510-785-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 CALAROGA AVE",
            "address_2": "STE #104",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452160",
            "telephone_number": "510-785-9295",
            "fax_number": "510-785-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAOWEN WANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHAOWEN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "510-785-9295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PEDIATRIC DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • 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.