Wendy Crocus Fang

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS107805 Issued in CA

Practice address

883 Sneath LN Ste 130
San Bruno, CA 94066-2409

Phone

(650) 589-4563

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• David Shen Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Francisco, CA
  • NPI 1578617080
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1629535182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 SNEATH LN STE 130",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 SNEATH LN STE 130",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662409",
            "telephone_number": "650-589-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "WENDY",
        "middle_name": "CROCUS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS107805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Affair Care Home,Inc.
• Family Dentistry San Bruno, Incorporated
• Zexin Fan
• Joyce Fancher, NP
• Candy-Yuet Fang
• Marco Fatica
• Reika Dawn Faust, LMFT, LPCC
• Karen Lee Feeney, M.D
• Milika Feiloakitau
• Jeremiah Fenn

• Orthodontics and Dentofacial Orthopedics Dentistry in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.