Active NPI
Jimmy C.S. Wang DDS, Inc
- General Practice Dentistry
- Whittier, CA
National Provider Identifier
1609285303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 54222
- Legal business name
- JIMMY C.S. WANG DDS, INC
- Practice address
- 15636 Whittwood LN
Whittier, CA 90603-2324 - Phone
- (562) 943-1500
- NPI assigned
- Aug 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jimmy Wang, DDS
- Title
- President
- Phone
- (562) 943-1500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 54222 | CA | Primary |
Addresses
Primary practice location
15636 Whittwood LN
Whittier, CA 90603-2324
Mailing address
15636 Whittwood LN
Whittier, CA 90603-2324
National Provider Directory
National Provider DirectoryLocations
15636 Whittwood Ln
Whittier, CA 90603
Phone (562) 943-1500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Whittier, CA
- NPI 1467671529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407283200000",
"number": "1609285303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15636 WHITTWOOD LN",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906032324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15636 WHITTWOOD LN",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906032324",
"telephone_number": "562-943-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIMMY C.S. WANG DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "JIMMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-943-1500",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "54222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.