NPIMap

Organization Active NPI

Jonathan Z Wang DDS PLLC

Doing business as North Carolina Premier Dental

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1538925060
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JONATHAN Z WANG DDS PLLC
Doing business as
North Carolina Premier Dental
Practice address
1622 E NC Highway 54
Durham, NC 27713-2100
Phone
(919) 401-5560
NPI assigned
Feb 22, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JONATHAN Z WANG DDS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Gloria Bohne
Title
Director of RCM
Phone
(919) 401-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1622 E NC Highway 54
Durham, NC 27713-2100

Mailing address

1622 E NC Highway 54
Durham, NC 27713-2100
Phone (919) 401-5560

Other names 1

  • North Carolina Premier Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jonathan Z Wang DDS PLLC6 organizations share this tax ID, including this one
Part of
Jonathan Z Wang DDS PLLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1538925060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132100",
            "telephone_number": "919-401-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132100",
            "telephone_number": "919-401-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN Z WANG DDS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONATHAN Z WANG DDS PLLC",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "BOHNE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "919-401-5560"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Carolina Premier Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.