Organization Active NPI

Qianmin Wang DDS,Inc

  • General Practice Dentistry
  • Madera, CA
National Provider Identifier
1386061869
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52018 Issued in CA
Legal business name
QIANMIN WANG DDS,INC
Practice address
1129 W 4TH St Ste B
Madera, CA 93637-4477
Phone
(559) 395-4337
Fax
(559) 395-4602
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Dr. Qianmin Wang, DDSNPI 1679634885
Title
Dentist/President
Phone
(510) 861-0928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52018 CA Primary

Addresses

Primary practice location

1129 W 4TH St Ste B
Madera, CA 93637-4477

Mailing address

1129 W 4TH St Ste B
Madera, CA 93637-4477
Phone (559) 395-4337

National Provider Directory

National Provider Directory

Locations

1129 W 4th St
Ste B
Madera, CA 93637
Phone (559) 395-4337

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1386061869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 W 4TH ST STE B",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374477",
            "telephone_number": "559-395-4337",
            "fax_number": "559-395-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 W 4TH ST STE B",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374477",
            "telephone_number": "559-395-4337",
            "fax_number": "559-395-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QIANMIN WANG DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "QIANMIN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "510-861-0928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.