NPIMap

Organization Active NPI

Charles Wang DDS, Professional Corporation

Doing business as 626 Dental Care

  • Dental Clinic/Center
  • El Monte, CA
National Provider Identifier
1558864819
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
56386 Issued in CA
Legal business name
CHARLES WANG DDS, PROFESSIONAL CORPORATION
Doing business as
626 Dental Care
Practice address
4900 Peck Rd
El Monte, CA 91732
Phone
(626) 579-5158
Fax
(626) 579-5311
NPI assigned
Mar 13, 2018
Last updated
Jul 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Authorized official

Name
Dr. Charles Wang, DDSNPI 1831387307
Title
President
Phone
(626) 579-5158

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 56386 CA Primary

Addresses

Primary practice location

4900 Peck Rd
El Monte, CA 91732

Mailing address

4900 Peck Rd
El Monte, CA 91732-1422
Phone (626) 579-5158

Other names 1

  • 626 Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4900 Peck Rd
El Monte, CA 91732
Phone (626) 579-5158

Practitioners & affiliated clinicians

Practitioners 3

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": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1558864819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 PECK RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321422",
            "telephone_number": "626-579-5158",
            "fax_number": "626-579-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 PECK RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91732",
            "telephone_number": "626-579-5158",
            "fax_number": "626-579-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES WANG DDS, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-579-5158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "626 Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.