Active NPI
Xiaoying Mimi Wang
- General Practice Dentistry
- Danbury, CT
National Provider Identifier
1467082586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 07989
- Practice address
- 1 Mill Plain Rd
Danbury, CT 06811-5139 - Phone
- (203) 743-9001
- Fax
- (203) 743-9082
- NPI assigned
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 07989 | CT | Primary |
Addresses
Primary practice location
1 Mill Plain Rd
Danbury, CT 06811-5139
Mailing address
1 Mill Plain Rd
Danbury, CT 06811-5139
Phone (203) 743-9001
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 |
|---|---|---|---|
| 07989 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1467082586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MILL PLAIN RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068115139",
"telephone_number": "203-743-9001",
"fax_number": "203-743-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MILL PLAIN RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068115139",
"telephone_number": "203-743-9001",
"fax_number": "203-743-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "XIAOYING",
"middle_name": "MIMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "07989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.