Dan Wang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

W6000068-15 Issued in WI

Practice address

2014 Lime Kiln Rd Ste 300
Green Bay, WI 54311-6206

Phone

(920) 857-2092

NPI assigned

Oct 13, 2022

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

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.

• Quirt Family Dentistry, SC

  • General Practice Dentistry
  • Bellevue, WI
  • NPI 1225447436
  NPD (past)

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1427774280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 LIME KILN RD STE 300",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116206",
            "telephone_number": "920-857-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 LIME KILN RD STE 300",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116206",
            "telephone_number": "920-857-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "W6000068-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter J. Ratschan, M.D., S.C.
• Heather Walters
• Matthew P Walters, MD
• Trisha Ann Walton, APNP
• Jacqueline Wanezek, D.D.S.
• Qiang Wang, MD
• Wei-Chuan Wang, MD
• Kathleen S Wangerin, APNP, FNP-BC
• Anne Marie Wannamaker, M.D.
• Waomirc Group LTD

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.