Victor Ying Wang, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1859441 Issued in MA

Practice address

67 Montvale Ave Ste 101
Stoneham, MA 02180-3618

Phone

(781) 279-2400

NPI assigned

May 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eugene a Mickey, DMD, MPH, PC

  • Pediatric Dentistry
  • Stoneham, MA
  • NPI 1396829180
  NPD (past)
• Stoneham Pediatric Dental Associates, PC

  • Pediatric Dentistry
  • Stoneham, MA
  • NPI 1225574577
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1346777208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MONSIGNOR OBRIEN HWY APT 705",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411261",
            "telephone_number": "781-460-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MONTVALE AVE STE 101",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803618",
            "telephone_number": "781-279-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "VICTOR",
        "middle_name": "YING",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02864600",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "12534",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1859441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Renaud Vaughn
• Peninah Nduta Wainaina
• Marie Walcott, M.D.
• Walgreen Eastern Co Inc
• Deborah Ann Walsh, PSY.D.
• Sadie Knight Wannamaker, PA-C
• Robert P Waugh, MD
• Karen Teresa Welch, ANP
• Rose S Weld, MD
• Well-Being, Incorporated

• Pediatric Dentistry in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.