Tim Wang DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

48405 Issued in CA

Legal business name

TIM WANG DDS, INC

Practice address

46921 Warm Springs Blvd Ste 203
Fremont, CA 94539-7934

Phone

(510) 792-7888

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Tim Ting- Chun Wang, D.D.S.NPI 1710189956

Title

Owner

Phone

(510) 792-7888

Specialties & licenses 1

Addresses

Other names 1

• Columbia Dental Care Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tim Ting Chun Wang, D.D.S.

  • Dentist
  • Fremont, CA
  • NPI 1710189956
  NPD (past) Authorized official
• Alicia Tzu-Ting Lo, DMD

  • Dentist
  • Fremont, CA
  • NPI 1073292132
  NPD (past)
• Punam Patel

  • Dentist
  • Fremont, CA
  • NPI 1003533068
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1639345879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46921 WARM SPRINGS BLVD STE 203",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397934",
            "telephone_number": "510-792-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46921 WARM SPRINGS BLVD STE 203",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397934",
            "telephone_number": "510-792-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM WANG DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "TING- CHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-792-7888",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chitra Thummarukudy
• Aushanay Lashaya Tidwell, CNA
• Tiffanie Tiet
• Spencer Barrett Tilley, MD
• Subena Kaur Mahal Tilley, D.O.
• Arthur J Ting, MEDICAL DOCTOR
• Salvador Tinoco Jaramillo
• Pamela Tint, PT, DPT
• Ruchika Satyanarayan Tirupachur
• Rachel Tischer, IMF

• Dental Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.