Active NPI
Yuwen Wang, D.D.S.
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1639414949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28549
- Practice address
- 730 W Stassney LN Ste 110
Austin, TX 78745-3032 - Phone
- (877) 800-5722
- NPI assigned
- Nov 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28549 | TX | |
| General Practice Dentistry | 1223G0001X | 28549 | TX | Primary |
Addresses
Primary practice location
730 W Stassney LN Ste 110
Austin, TX 78745-3032
Mailing address
2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722
Other practice location 1
590 Mitchell Blvd
Building 375
Laughlin AFB, TX 78843
Phone (830) 298-6531
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220718001098 | TX | Practitioner - Dentist | 0042590010 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- yuwen.wang.p1@direct.lscctx.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1639414949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 WILLIAMS DR STE 107",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283269",
"telephone_number": "877-800-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W STASSNEY LN STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787453032",
"telephone_number": "877-800-5722"
}
],
"practiceLocations": [
{
"address_1": "590 Mitchell Blvd",
"address_2": "Building 375",
"address_purpose": "LOCATION",
"city": "Laughlin AFB",
"state": "TX",
"postal_code": "78843",
"country_code": "US",
"telephone_number": "830-298-6531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "YUWEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28549",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.