Individual provider Active NPI

Sandy Shann-Yuh Wang, DDS

  • Endodontics
  • Flower Mound, TX
National Provider Identifier
1629129473
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20513 Issued in TX
Practice address
2560 Central Park Ave
Suite 128
Flower Mound, TX 75028-1554
Phone
(214) 893-8883
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 20513 TX Primary

Addresses

Primary practice location

2560 Central Park Ave
Suite 128
Flower Mound, TX 75028-1554

Mailing address

2560 Central Park Ave
Ste 128
Flower Mound, TX 75028-1566
Phone (972) 539-1988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323000974 TX Order and Referring Only - DentistPractitioner - Dentist 1557668217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Endodontics Endodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1629129473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 CENTRAL PARK AVE",
            "address_2": "STE 128",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281566",
            "telephone_number": "972-539-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 CENTRAL PARK AVE",
            "address_2": "SUITE 128",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281554",
            "telephone_number": "214-893-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SANDY",
        "middle_name": "SHANN-YUH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "20513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.