Jielin Wang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1858505 Issued in MA

Practice address

3033 Washington St
Roxbury, MA 02119-1227

Phone

(617) 541-2200

Fax

(617) 541-2206

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dental Dreams, LLC

  • Dentist
  • Roxbury, MA
  • NPI 1225207517
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1346896511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BARON PARK LN APT 4",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035419",
            "telephone_number": "571-488-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191227",
            "telephone_number": "617-541-2200",
            "fax_number": "617-541-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JIELIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1858505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Eastern Co Inc
• Kristan Walker
• Dorothy Walsh, MED
• Anne Marie Wamba, MA
• Li Wang, DMD
• Zhiyi Wang
• Leonard Wanta, DPT
• Ali Wantimba
• Raia Warfield

• General Practice Dentistry in Roxbury, MA
• Providers in Roxbury, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.