Ke Wang

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

38910 Issued in TX

Practice address

3111 S Texas Ave
Bryan, TX 77802-3124

Phone

(979) 721-9217

NPI assigned

Mar 21, 2019

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

Enrolled in CT

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

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.

• Ke Wang Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Austin, TX
  • NPI 1538016803
  NPD Authorized official

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1447710926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 CRESCENT POINTE PKWY APT 7303",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457399",
            "telephone_number": "214-228-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023124",
            "telephone_number": "979-721-9217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3063 S John Redditt Dr",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759045603",
            "country_code": "US",
            "telephone_number": "936-465-9986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "KE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "38910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan K Walter, MD
• Kristina Walters, MA, LPC
• Jennifer Walton
• Andrew Z Wang
• Hongbo Wang, M.D.
• Mengdi Wang, PT
• Miranda Wang
• Naomi Warden, RPH
• Heather Warren, PA-C
• Shannon Lea Warren, DNP, APRN, AGACNP-BC

• Orthodontics and Dentofacial Orthopedics Dentistry in Bryan, TX
• Providers in Bryan, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.