Li Jen Wang

Primary specialty

DentistTaxonomy code 122300000X

License

DE60894468 Issued in WA

Practice address

19718 68TH Ave W Ste G
Lynnwood, WA 98036-5965

Phone

(425) 778-6677

NPI assigned

Mar 16, 2018

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)

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.

• Dr. Seongwon Choi PLLC.

  • Endodontics
  • Marysville, WA
  • NPI 1407774490
  NPD (past)
• Joseph Van Mieghem, DDS, PLLC

  • Dental Clinic/Center
  • Lynnwood, WA
  • NPI 1023956000
  NPD (past)
• Lee & Van Mieghem DDS PLLC

  • General Practice Dentistry
  • Lynnwood, WA
  • NPI 1740326735
  NPD (past)
• Washington Dental Corporation, PC

  • Dentist
  • Marysville, WA
  • NPI 1790141828
  NPD (past)

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1407359334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 159TH LN SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871545",
            "telephone_number": "206-979-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19718 68TH AVE W STE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365965",
            "telephone_number": "425-778-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific Street Hsb # B241",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-543-7496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Terrace St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132523",
            "country_code": "US",
            "telephone_number": "412-648-8616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98195",
            "country_code": "US",
            "telephone_number": "206-979-1373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3331 159th Ln SW",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980871545",
            "country_code": "US",
            "telephone_number": "206-979-1373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17103 28th Dr NE Ste 104",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982714830",
            "country_code": "US",
            "telephone_number": "360-208-0492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19620 WA-99",
            "address_2": "Ste 106",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "98036",
            "country_code": "US",
            "telephone_number": "425-670-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19620 WA-99",
            "address_2": "Ste 106",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "98036",
            "country_code": "US",
            "telephone_number": "425-670-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17103 28th Dr NE Ste 104",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982714830",
            "country_code": "US",
            "telephone_number": "360-208-0492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "LI JEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DR60850394",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60894468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Walter, OTR
• Elizabeth Wamagata
• Wang Wellness Clinic, P.S., Inc.
• Faith Shao Wang, LMT
• Hsin-Yi Wang, MD
• Li-Ting Wang, LMHCA
• Xinyan Wang
• Ying M. Wang, M.D.
• Regina Wanjohi
• Warby Parker Inc.

• Dentist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.