JFK Wang DDS Corp

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JFK WANG DDS CORP

Practice address

7071 Indiana Ave
Riverside, CA 92504

Phone

(714) 363-6928

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Raymond S Wang, DDSNPI 1871904896

Title

Doctor

Phone

(714) 363-6928

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Just For Kids Pediatric Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond S Wang, DDS

  • Pediatric Dentistry
  • Riverside, CA
  • NPI 1871904896
  NPD Authorized official

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1538630959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TUNDRA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021847",
            "telephone_number": "714-363-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92504",
            "telephone_number": "714-363-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFK WANG DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-363-6928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871904896",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just For Kids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Jesser
• Jessica Duong,O.D.Inc.
• Heather Ann Jester
• Jewel 8 LLC
• Colleen Zumaran Jewess, PA-C
• JH Chun Dental Corporation
• JH Chun Dental Corporation
• Harbir Singh Jhawar, DDS, MBA, MPH
• Ji Son
• David Ji

• Pediatric Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.