NPIMap

Organization Active NPI

Benjamin C Wang DMD PC

  • Dentist
  • Portland, OR
National Provider Identifier
1497207492
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BENJAMIN C WANG DMD PC
Practice address
610 SW Alder St
Suite 1105
Portland, OR 97205-3625
Phone
(503) 228-1506
NPI assigned
Oct 26, 2016
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Benjamin Wang, DMDNPI 1013064070
Title
Owner
Phone
(503) 228-1506

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

610 SW Alder St
Suite 1105
Portland, OR 97205-3625

Mailing address

610 SW Alder St
Suite 1105
Portland, OR 97205-3625
Phone (503) 228-1506

National Provider Directory

National Provider Directory

Locations

610 SW Alder St
Ste 1105
Portland, OR 97205
Phone (503) 228-1506

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1497207492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SW ALDER ST",
            "address_2": "SUITE 1105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053625",
            "telephone_number": "503-228-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SW ALDER ST",
            "address_2": "SUITE 1105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053625",
            "telephone_number": "503-228-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN C WANG DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-228-1506",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.