Individual provider Active NPI

Hanbin Wang, D.M.D

  • General Practice Dentistry
  • Lowell, MA
National Provider Identifier
1487004768
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856355 Issued in MA
Practice address
89 Church St
Lowell, MA 01852-2621
Phone
(978) 452-3000
NPI assigned
Jun 16, 2016
Last updated
Jul 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856355 MA Primary

Addresses

Primary practice location

89 Church St
Lowell, MA 01852-2621

Mailing address

30 Revere Beach Pkwy
Apt 514
Medford, MA 02155-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915000000 MA Order and Referring Only - Other (Non-Physician) 9335435536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856355MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Family Dental PC PastSince Oct 9, 2022 Accepting new patients
Central Plaza Family Dental Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1487004768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REVERE BEACH PKWY",
            "address_2": "APT 514",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CHURCH ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522621",
            "telephone_number": "978-452-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HANBIN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.