Wanyun Xue Dental P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WANYUN XUE DENTAL P.C.

Practice address

396 Court St
Brooklyn, NY 11231-4206

Phone

(718) 852-3793

NPI assigned

Sep 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Wanyun Xue, DDSNPI 1902051485

Title

Owner

Phone

(718) 852-3793

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carroll Gardens Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• Wanyun Xue, DDS

  • Student in an Organized Health Care Education/Training Program
  • Newark, NJ
  • NPI 1902051485
  NPD Authorized official

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1366092850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 RAPELYE ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312629",
            "telephone_number": "718-852-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314206",
            "telephone_number": "718-852-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANYUN XUE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "XUE",
        "authorized_official_first_name": "WANYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-852-3793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "054410-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll Gardens Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carroll Gardens Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wannacare LLC
• Frances Brooks Wanning
• Brucha Wanounou, FNP
• Chaim Wanounou, PA
• Dina Wanounou
• Mindi Wapner, PHD
• Omar Waqar, MD
• Sana Hassan Waqar, DO
• Shanza Waqar, MD
• Ahmad Waqas, MD

• Dental Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.