Individual provider Active NPI

Ping Wang

  • Dentist
  • Millsboro, DE
National Provider Identifier
1407464423
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G1-0011526 Issued in DE
Practice address
28318 Dupont Blvd
Millsboro, DE 19966-4774
Phone
(302) 934-8005
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16960 MD
General Practice Dentistry 1223G0001X DS042707 PA
Dentist 122300000X G1-0011526 DE Primary

Addresses

Primary practice location

28318 Dupont Blvd
Millsboro, DE 19966-4774

Mailing address

13226 Hunt RDG
Ellicott City, MD 21042-1153
Phone (443) 676-6088

Other practice location 1

3223 N Broad St
Philadelphia, PA 19140-5007
Phone (443) 676-6088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G1-0011526DEMDDentist
16960MDMDGeneral Practice Dentistry
DS042707PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1407464423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13226 HUNT RDG",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421153",
            "telephone_number": "443-676-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28318 DUPONT BLVD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664774",
            "telephone_number": "302-934-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405007",
            "country_code": "US",
            "telephone_number": "443-676-6088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "PING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16960",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042707",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0011526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.