Active NPI
Janice Jiing Wang, D.D.S.
- Dentist
- Walnut Creek, CA
National Provider Identifier
1497961320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43094
- Practice address
- 1844 San Miguel Dr Ste 202
Walnut Creek, CA 94596-4913 - Phone
- (925) 939-0700
- Fax
- (925) 939-0128
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 43094 | CA | Primary |
Addresses
Primary practice location
1844 San Miguel Dr Ste 202
Walnut Creek, CA 94596-4913
Mailing address
1050 Larch Ave
Moraga, CA 94556-1853
Phone (925) 376-7106
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 |
|---|---|---|---|
| 43094 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bancroft Dental Care | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- San Leandro, CA
- NPI 1659725240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497961320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 LARCH AVE",
"city": "MORAGA",
"state": "CA",
"postal_code": "945561853",
"telephone_number": "925-376-7106",
"fax_number": "925-631-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 SAN MIGUEL DR STE 202",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964913",
"telephone_number": "925-939-0700",
"fax_number": "925-939-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JANICE",
"middle_name": "JIING",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.