Active NPI
Ruei-Hua Wang, DDS
- Periodontics
- Bellevue, WA
National Provider Identifier
1447864301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DE61084622
- Practice address
- 1545 116TH Ave NE Ste 100
Bellevue, WA 98004-3813 - Phone
- (425) 247-3629
- NPI assigned
- Sep 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE61084622 | WA | |
| Periodontics | 1223P0300X | DE61084622 | WA | Primary |
Addresses
Primary practice location
1545 116TH Ave NE Ste 100
Bellevue, WA 98004-3813
Mailing address
1545 116TH Ave NE Ste 100
Bellevue, WA 98004-3813
Phone (425) 247-3629
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 |
|---|---|---|---|
| DE61084622 | WA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1447864301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 116TH AVE NE STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043813",
"telephone_number": "425-247-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 116TH AVE NE STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043813",
"telephone_number": "425-247-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "RUEI-HUA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61084622",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE61084622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.