Estee P Wang, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D13144 Issued in MN

Practice address

1668 Cope Ave E
Maplewood, MN 55109-2655

Phone

(651) 777-7300

NPI assigned

Jul 17, 2012

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Estee Wang Bajema Other name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Mayo Clinic

  • Multi-Specialty Clinic/Center
  • Rochester, MN
  • NPI 1922074434
  Medicare reassignment NPD
• Embrace Orthodontics PLLC

  • Dental Clinic/Center
  • Lindstrom, MN
  • NPI 1528597721
  Authorized official Same address or phone
• Estee Wang, DMD Ms, PLLC

  dba Lakes Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maplewood, MN
  • NPI 1023664935
  Authorized official Same address or phone
• Mayo Clinic

  • Clinical Medical Laboratory
  • Rochester, MN
  • NPI 1083249577
  NPD

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1417202417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092655",
            "telephone_number": "651-356-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092655",
            "telephone_number": "651-777-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559057545",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "ESTEE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D13144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTEE",
            "last_name": "BAJEMA",
            "middle_name": "WANG",
            "prefix": "DR.",
            "credential": "DMD MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Terrence Wall, M.D.
• Evan M Wallenfelsz, LICSW
• Alanna Marie Wallerstein, AU.D.
• Paul K Wallin, DDS
• Cara Sue Walz, MD
• Xue Wang
• Bosteya Wardere
• Huda Wardere
• Carrie Ann Warns, CNP
• Leyla Bille Warsame, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.