Wang and Jean D.M.D., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

34011 Issued in CA

Legal business name

WANG AND JEAN D.M.D., INC.

Practice address

219 E 17TH St
Santa Ana, CA 92706-2802

Phone

(714) 667-0161

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chong Shu Wang, D.M.D.

Title

President

Phone

(714) 744-6991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619170883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062802",
            "telephone_number": "714-667-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062802",
            "telephone_number": "714-667-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG AND JEAN D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHONG SHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-744-6991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marty Walter III, LVN
• Kayela Walters
• Rachel Walters
• Bridget Walton
• Tiffany Wambua, BCBA
• Wang and Jean DMD Inc
• Chia Ying Wang, MD
• Ellice W Wang, MD
• Hannah Hsieh Wang
• James H Wang, DDS

• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.