Organization Active NPI

Jimmy C.S. Wang DDS, Inc

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1609285303
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54222 Issued in CA
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

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Jimmy Wang, DDSNPI 1467671529
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.