Active NPI
Ping Wang
- Dentist
- Millsboro, DE
National Provider Identifier
1407464423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- G1-0011526
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0011526 | DE | MD | Dentist |
| 16960 | MD | MD | General Practice Dentistry |
| DS042707 | PA | MD | General 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.