Jessica Wang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10843 Issued in TN

Practice address

61 Peyton Pkwy Ste 101
Collierville, TN 38017-9702

Phone

(901) 854-5527

NPI assigned

Jul 16, 2018

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

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1477039188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PEYTON PKWY STE 101",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179702",
            "telephone_number": "901-854-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PEYTON PKWY STE 101",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179702",
            "telephone_number": "901-854-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JESSICA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy R Walker, CRNA
• Walter S Walker, D.C.
• Mark Alan Wallace, DC
• Walley Wellness PLLC
• Brandon W Walley, O.D.
• Earnicia Washington, D.C.
• Abby Watts
• Stacy Ladawn Wegner, PA-C
• Justin Christopher Welch, PHARMD
• Welcome Home Improvements

• General Practice Dentistry in Collierville, TN
• Providers in Collierville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.