NPIMap

Organization Active NPI

Weidong Wang D. D. S. Corp

  • Preferred Provider Organization
  • Seaside, CA
National Provider Identifier
1457767048
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
WEIDONG WANG D. D. S. CORP
Practice address
1165 Fremont Blvd
Seaside, CA 93955-5741
Phone
(831) 392-1000
Fax
(831) 392-1010
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dr. Weidong Wang, D. D. S.NPI 1144388430
Title
Dentist /Owner
Phone
(831) 392-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

1165 Fremont Blvd
Seaside, CA 93955-5741

Mailing address

1165 Fremont Blvd
Seaside, CA 93955-5741
Phone (831) 392-1000

Other names 1

  • A New Image Dental Other name

National Provider Directory

National Provider Directory

Locations

1165 Fremont Blvd
Seaside, CA 93955
Phone (831) 392-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1457767048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555741",
            "telephone_number": "831-392-1000",
            "fax_number": "831-392-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555741",
            "telephone_number": "831-392-1000",
            "fax_number": "831-392-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIDONG WANG D. D. S. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "WEIDONG",
        "authorized_official_title_or_position": "DENTIST /OWNER",
        "authorized_official_telephone_number": "831-392-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Image Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seaside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.