Individual provider Active NPI

Stewart Whang, DDS

  • Dentist
  • Escondido, CA
National Provider Identifier
1346694767
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31998 Issued in CA
Practice address
2319 E Valley Pkwy
Suite E
Escondido, CA 92027-2794
Phone
(760) 489-6666
NPI assigned
Apr 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31998 CA Primary

Addresses

Primary practice location

2319 E Valley Pkwy
Suite E
Escondido, CA 92027-2794

Mailing address

2319 E Valley Pkwy
Suite E
Escondido, CA 92027-2794
Phone (760) 489-6666

Other identifiers 1

IdentifierTypeStateIssuer
31998OtherCAN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31998CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1346694767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 E VALLEY PKWY",
            "address_2": "SUITE E",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272794",
            "telephone_number": "760-489-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 E VALLEY PKWY",
            "address_2": "SUITE E",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272794",
            "telephone_number": "760-489-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHANG",
        "first_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "31998",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.