Chong-Shu Wang, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D 34011 Issued in CA

Practice address

4200 Trabuco Rd
#130
Irvine, CA 92620-3600

Phone

(949) 551-4737

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wang and Jean D.M.D., Inc.

  • Dentist
  • Santa Ana, CA
  • NPI 1619170883
  Authorized official Same address or phone
• Charng Shing Jean Dental Corporation

  • Dentist
  • Irvine, CA
  • NPI 1003537945

  General Practice

  NPD (past)
• Wang and Jean DMD Inc

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1093418543
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376625665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13081 STANTON",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052249",
            "telephone_number": "714-744-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD",
            "address_2": "#130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203600",
            "telephone_number": "949-551-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHONG-SHU",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D 34011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Chung-Jen Wang, PHARMD
• Anthony Hong Han Wang, D.M.D.
• Charles Yee Wang, PT, DPT
• Chia-Ying Wang
• Chih-Kuan Wang, M.D.
• Christopher Mark Wang, DC
• Edward Chia-Heng Wang, MD
• Fei Wang, PMHNP
• Gloria Yeefen Wang, M.D.
• Grace Huei-En Wang, DPT

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.