Organization Active NPI

Xin Jenny Wang, DMD PC

  • Dentist
  • Woburn, MA
National Provider Identifier
1518205764
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20553 Issued in MA
Legal business name
XIN JENNY WANG, DMD PC
Practice address
110 Winn St
Ste. 206
Woburn, MA 01801-2897
Phone
(781) 933-5023
NPI assigned
Jan 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Dr. Xin Jenny Wang, DMD
Title
Owner
Phone
(781) 933-5023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20553 MA Primary

Addresses

Primary practice location

110 Winn St
Ste. 206
Woburn, MA 01801-2897

Mailing address

110 Winn St
Ste. 206
Woburn, MA 01801-2897
Phone (781) 933-5023

National Provider Directory

National Provider Directory

Locations

110 Winn St
Ste 206
Woburn, MA 01801
Phone (781) 933-5023

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1518205764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WINN ST",
            "address_2": "STE. 206",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012897",
            "telephone_number": "781-933-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WINN ST",
            "address_2": "STE. 206",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012897",
            "telephone_number": "781-933-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIN JENNY WANG, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "XIN",
        "authorized_official_middle_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-933-5023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.